Provider Demographics
NPI:1841824513
Name:TOTAL ALIGN CHIROPRACTIC INC.
Entity type:Organization
Organization Name:TOTAL ALIGN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:TOTAL ALIGN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIROPRACTIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-693-4270
Mailing Address - Street 1:3939 S CONGRESS AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4119
Mailing Address - Country:US
Mailing Address - Phone:561-693-4270
Mailing Address - Fax:561-450-6372
Practice Address - Street 1:3939 S CONGRESS AVE STE 108
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4119
Practice Address - Country:US
Practice Address - Phone:561-693-4270
Practice Address - Fax:561-693-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty