# THE SPINE WORX LLC

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

## Provider details

- **NPI number:** 1548467640
- **Authorized official:** DR. JAMES PUCKA D.C., L.AC. (OWNER)
- **Authorized official phone:** (765) 446-0000

## Contact information

- **Practice address:** 983 S CREASY LN, LAFAYETTE, IN 47905-4800
- **Practice address phone:** (765) 446-0000
- **Practice address fax:** (317) 245-2153
- **Mailing address:** 983 S CREASY LN, LAFAYETTE, IN 47905-4800
- **Mailing address phone:** (765) 446-0000
- **Mailing address fax:** (317) 245-2153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 08001350 | IN | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 06/04/2009