Provider Demographics
NPI:1972973824
Name:INFINITY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:INFINITY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-400-1785
Mailing Address - Street 1:7504 HIGHWAY 72 W
Mailing Address - Street 2:SUITE A6
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9554
Mailing Address - Country:US
Mailing Address - Phone:256-400-1785
Mailing Address - Fax:
Practice Address - Street 1:7504 HIGHWAY 72 W
Practice Address - Street 2:SUITE A6
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9554
Practice Address - Country:US
Practice Address - Phone:256-400-1785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty