Provider Demographics
NPI:1205618485
Name:CHIRO-THERAPY SERVICE, PA
Entity type:Organization
Organization Name:CHIRO-THERAPY SERVICE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILLIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-254-4779
Mailing Address - Street 1:1501 FOREST HILL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6081
Mailing Address - Country:US
Mailing Address - Phone:561-432-5090
Mailing Address - Fax:561-433-1565
Practice Address - Street 1:1501 FOREST HILL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6081
Practice Address - Country:US
Practice Address - Phone:561-432-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty