Provider Demographics
NPI:1710151022
Name:VOLTZ CHIROPRACTIC AND REHAB CENTER LLC
Entity Type:Organization
Organization Name:VOLTZ CHIROPRACTIC AND REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:VOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:504-888-4878
Mailing Address - Street 1:PO BOX 613
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-0613
Mailing Address - Country:US
Mailing Address - Phone:504-888-4878
Mailing Address - Fax:504-454-2679
Practice Address - Street 1:4937 HEARST ST
Practice Address - Street 2:SUITE 1G
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1120
Practice Address - Country:US
Practice Address - Phone:504-888-4878
Practice Address - Fax:504-454-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1200111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty