NPI 1861995953 · live from the CMS NPI Registry
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Chiropractor in Reno, NV. National Provider Identifier 1861995953, active.
NPI record
| NPI | 1861995953 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1895 Plumas St Ste 3, Reno, NV 89509 |
| Practice phone | 775-826-5800 |
| Mailing address | Po Box 33025, Reno, NV 89533 |
| Enumerated | March 14, 2018 |
| Last updated | March 14, 2018 |
| Authorized official | Randy Mantz, Chiroprator/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.