Provider Demographics
NPI:1164717997
Name:RICHEY FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:RICHEY FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-581-5911
Mailing Address - Street 1:110 1/2 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-3602
Mailing Address - Country:US
Mailing Address - Phone:337-788-0071
Mailing Address - Fax:337-788-0074
Practice Address - Street 1:110 1/2 W 8TH ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-3602
Practice Address - Country:US
Practice Address - Phone:337-788-0071
Practice Address - Fax:337-788-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty