# IDEAL ATHLETE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1407613391
- **Authorized official:** TAMI L LADUKE (OFFICE MANAGER)
- **Authorized official phone:** (518) 324-5000

## Contact information

- **Practice address:** 43 DURKEE ST STE 600C, PLATTSBURGH, NY 12901-2953
- **Practice address phone:** (518) 324-5000
- **Practice address fax:** (518) 324-5500
- **Mailing address:** 43 DURKEE ST STE 600C, PLATTSBURGH, NY 12901-2953
- **Mailing address phone:** (518) 324-5000
- **Mailing address fax:** (518) 324-5500

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024