Provider Demographics
NPI:1356154413
Name:ADAPT CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ADAPT CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-260-3129
Mailing Address - Street 1:515 E DIVISION ST NE
Mailing Address - Street 2:STE 130
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-1378
Mailing Address - Country:US
Mailing Address - Phone:616-884-0060
Mailing Address - Fax:
Practice Address - Street 1:515 E DIVISION ST NE
Practice Address - Street 2:STE 130
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1378
Practice Address - Country:US
Practice Address - Phone:616-884-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty