NPI 1629839162 · live from the CMS NPI Registry
100 Chiro Fort Worth PLLC
Chiropractor in Fort Worth, TX. National Provider Identifier 1629839162, active.
NPI record
| NPI | 1629839162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3251 Tracewood Way Ste 121, Fort Worth, TX 76177 |
| Practice phone | 719-217-0895 |
| Mailing address | 20551 N Pima Rd Ste 100, Scottsdale, AZ 85255 |
| Enumerated | January 22, 2024 |
| Last updated | January 22, 2024 |
| Authorized official | Brandon Livingood, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.