Provider Demographics
NPI:1891553020
Name:CHIROPRACTIC CARE PLLC
Entity Type:Organization
Organization Name:CHIROPRACTIC CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:928-474-7070
Mailing Address - Street 1:124 E PINE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-3896
Mailing Address - Country:US
Mailing Address - Phone:928-474-7070
Mailing Address - Fax:928-474-9450
Practice Address - Street 1:600 E ST HWY 260 STE 5
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4967
Practice Address - Country:US
Practice Address - Phone:928-474-7070
Practice Address - Fax:928-474-9450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty