Provider Demographics
NPI:1821743709
Name:TRANSITION CHIROPRACTIC & REHABILITATION
Entity Type:Organization
Organization Name:TRANSITION CHIROPRACTIC & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KLAYTON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-505-2629
Mailing Address - Street 1:11906 I ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1244
Mailing Address - Country:US
Mailing Address - Phone:402-505-2629
Mailing Address - Fax:402-333-0731
Practice Address - Street 1:11906 I ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1244
Practice Address - Country:US
Practice Address - Phone:402-505-2629
Practice Address - Fax:402-333-0731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty