Sports And Spine Therapy, Inc. in Dallas - Sports Physician

Sports And Spine Therapy, Inc. - NPI 1033316039

Sports And Spine Therapy, Inc. is a Sports Physician in Dallas, Texas. Sports And Spine Therapy, Inc. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Sports And Spine Therapy, Inc. is 1033316039. The last update date is 2009-02-05.

Sports And Spine Therapy, Inc.'s current location address is 7830 N Central Expy, Dallas, Texas. You can contact this provider via phone number 2147392225 and fax number 2147392228. The mailing address for Sports And Spine Therapy, Inc. is 7830 N Central Expy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sports And Spine Therapy, Inc.
Address 7830 N Central Expy, Dallas, Texas
Phone Number 2147392225
Fax Number 2147392228
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROPRIETOR
Authorized Official Name Petersen Todd Robert
Credentials DC, OPA-C,
Telephone Number 2147392225

NPI Number Detail

NPI Number 1033316039
Provider Enumeration Date 2007-07-02
Last Updated Date 2009-02-05

Provider Mailing Address Detail

Address 7830 N Central Expy
City Dallas
State Texas (TX)
Post Code 752061902
Phone Number 2147392225
Fax Number 2147392228

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8AS200 TX BCBS

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FAQs about Sports And Spine Therapy, Inc.

What is the unique identifier code issued to Sports And Spine Therapy, Inc. by the Centers for Medicare & Medicaid Services?

The Sports And Spine Therapy, Inc. has been assigned the NPI (National Provider Identifier) 1033316039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Sports And Spine Therapy, Inc.?

The Sports And Spine Therapy, Inc. is situated at 7830 N Central Expy, in the city of Dallas, state of TX, with the zip code 752061902.

What is the Sports And Spine Therapy, Inc.'s area of specialization and corresponding taxonomy classification?

The Sports And Spine Therapy, Inc.'s specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.

On what date did the Sports And Spine Therapy, Inc. receive the assignment of its 1033316039 from the Centers for Medicare & Medicaid Services?

The Sports And Spine Therapy, Inc. was issued its 1033316039 by the Centers for Medicare & Medicaid Services on 2007-07-02.

As of what date were the details pertaining to Sports And Spine Therapy, Inc. last refreshed?

The information related to the Sports And Spine Therapy, Inc., including its address, specialty, and other relevant details, was last updated on 2009-02-05.

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