Provider Demographics
NPI:1689702789
Name:ADJUSTFIRST PA
Entity Type:Organization
Organization Name:ADJUSTFIRST PA
Other - Org Name:FAMILY FIRST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIRO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONYA
Authorized Official - Middle Name:MATTHIESEN
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-858-9355
Mailing Address - Street 1:800 W HIGHWAY 290
Mailing Address - Street 2:BLDG F, STE 500
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4191
Mailing Address - Country:US
Mailing Address - Phone:512-858-9355
Mailing Address - Fax:512-858-4426
Practice Address - Street 1:800 W HIGHWAY 290
Practice Address - Street 2:BLDG F, STE 500
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4191
Practice Address - Country:US
Practice Address - Phone:512-858-9355
Practice Address - Fax:512-858-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W484Medicare PIN