Provider Demographics
NPI:1578230579
Name:RESET CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RESET CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:PFEIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-580-1961
Mailing Address - Street 1:52188 VAN DYKE AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3570
Mailing Address - Country:US
Mailing Address - Phone:586-580-1961
Mailing Address - Fax:586-580-7525
Practice Address - Street 1:52188 VAN DYKE AVE STE 312
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3570
Practice Address - Country:US
Practice Address - Phone:586-580-1961
Practice Address - Fax:586-580-7525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty