Provider Demographics
NPI:1568537074
Name:SPINE CARE AND THERAPY, INC
Entity Type:Organization
Organization Name:SPINE CARE AND THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-282-6400
Mailing Address - Street 1:413 NEPONSET AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-3131
Mailing Address - Country:US
Mailing Address - Phone:617-282-6400
Mailing Address - Fax:617-282-8165
Practice Address - Street 1:413 NEPONSET AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3131
Practice Address - Country:US
Practice Address - Phone:617-282-6400
Practice Address - Fax:617-282-8165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty