Provider Demographics
NPI:1760112551
Name:SPINEFIT LLC
Entity Type:Organization
Organization Name:SPINEFIT LLC
Other - Org Name:SPINEFIT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CIFUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-237-1411
Mailing Address - Street 1:708 HAYDEN LN
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-7211
Mailing Address - Country:US
Mailing Address - Phone:864-237-1411
Mailing Address - Fax:
Practice Address - Street 1:175 MAGNOLIA ST STE 102
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-2324
Practice Address - Country:US
Practice Address - Phone:864-237-1411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty