Provider Demographics
NPI:1669792891
Name:ADVANCED ALTERNATIVE THERAPIES, LLC
Entity type:Organization
Organization Name:ADVANCED ALTERNATIVE THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-488-6927
Mailing Address - Street 1:6051 E HIDDEN VALLEY DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-8898
Mailing Address - Country:US
Mailing Address - Phone:480-488-6927
Mailing Address - Fax:
Practice Address - Street 1:6051 E HIDDEN VALLEY DR
Practice Address - Street 2:SUITE 1
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-8898
Practice Address - Country:US
Practice Address - Phone:480-488-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty