Provider Demographics
NPI:1720404544
Name:GENTLE TOUCH HEADACHE & SPINE CENTER
Entity Type:Organization
Organization Name:GENTLE TOUCH HEADACHE & SPINE CENTER
Other - Org Name:GENTLE TOUCH HEAD & SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:F
Authorized Official - Last Name:TROMBETTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-552-3292
Mailing Address - Street 1:4515 N 32ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3354
Mailing Address - Country:US
Mailing Address - Phone:623-552-3292
Mailing Address - Fax:623-552-3294
Practice Address - Street 1:4515 N 32ND ST STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3354
Practice Address - Country:US
Practice Address - Phone:623-552-3292
Practice Address - Fax:623-552-3294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8031111N00000X
AZ8271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty