# SPINAL THERAPY & CHIROPRACTIC SERVICES INC

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

## Provider details

- **NPI number:** 1134236656
- **Authorized official:** DR. JIN WOO SUNG DC (PRESIDENT)
- **Authorized official phone:** (781) 289-7008

## Contact information

- **Practice address:** 166 WINTHROP AVE, SUITE 3, REVERE, MA 02151-3915
- **Practice address phone:** (781) 289-7008
- **Practice address fax:** (781) 289-7242
- **Mailing address:** 166 WINTHROP AVE, SUITE 3, REVERE, MA 02151-3915
- **Mailing address phone:** (781) 289-7008
- **Mailing address fax:** (781) 289-7242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 189 | MA | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y39887 | BCBS OF MA GROUP NO | — |