# CARROLLTON KINESIOLOGY & CHIROPRACTIC HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104850429
- **Authorized official:** PETER DAVID JAILLET DC (OWNER)
- **Authorized official phone:** (972) 395-9795

## Contact information

- **Practice address:** 3610 N JOSEY LN STE 130, CARROLLTON, TX 75007-3143
- **Practice address phone:** (972) 395-9795
- **Mailing address:** 3610 N JOSEY LN STE 130, CARROLLTON, TX 75007-3143
- **Mailing address phone:** (972) 395-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 6689 | TX | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020