Provider Demographics
NPI:1831855899
Name:HYPERMOBILITY & CHIROPRACTIC CLINIC OF AUSTIN, LLC.
Entity type:Organization
Organization Name:HYPERMOBILITY & CHIROPRACTIC CLINIC OF AUSTIN, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:KERRY
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-401-3886
Mailing Address - Street 1:503 PHEASANT RDG
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-2851
Mailing Address - Country:US
Mailing Address - Phone:518-929-0707
Mailing Address - Fax:512-675-6742
Practice Address - Street 1:4841 WILLIAMS DR STE 110C
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-2006
Practice Address - Country:US
Practice Address - Phone:512-401-3886
Practice Address - Fax:512-675-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty