# COMPLETE SPINE AND PERFORMANCE LLC

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

## Provider details

- **NPI number:** 1417732009
- **Authorized official:** DR. BLAKE REED D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (618) 855-9130

## Contact information

- **Practice address:** 521 BELT LINE RD, COLLINSVILLE, IL 62234-4411
- **Practice address phone:** (618) 855-9130
- **Practice address fax:** (618) 855-9111
- **Mailing address:** 240 SANDRIDGE DR, COLLINSVILLE, IL 62234-3792
- **Mailing address phone:** (618) 977-7317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023