Provider Demographics
NPI:1245443621
Name:ADJUSTED LIFE CHIROPRACTIC, DR. KRISTY ZINNES, INC
Entity type:Organization
Organization Name:ADJUSTED LIFE CHIROPRACTIC, DR. KRISTY ZINNES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ZINNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-244-9730
Mailing Address - Street 1:230 N MARYLAND AVE
Mailing Address - Street 2:108
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4261
Mailing Address - Country:US
Mailing Address - Phone:818-244-9730
Mailing Address - Fax:818-244-9730
Practice Address - Street 1:230 N MARYLAND AVE
Practice Address - Street 2:108
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4261
Practice Address - Country:US
Practice Address - Phone:818-244-9730
Practice Address - Fax:818-244-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty