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DYNAMIC SPINE AND SPORTS THERAPY NPI 1659629723


NPI Information

NPI: 1659629723
Provider Name: DYNAMIC SPINE AND SPORTS THERAPY
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3400 BLUE SPRINGS RD NW
SUITE 100
KENNESAW, GA
ZIP 30144
Phone: (678) 674-5430
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DYNAMIC SPINE AND SPORTS THERAPY is a chiropractor in Kennesaw, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DYNAMIC SPINE AND SPORTS THERAPY NPI is 1659629723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 BLUE SPRINGS RD NW
SUITE 100
KENNESAW, GA
ZIP 30144-079
Phone: (678) 674-5430

The provider's authorized official is Jered Michael Hull .
The authorized official title is Member and has the following contact phone number (678) 674-5430.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 8/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor055355792GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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