# PAYNE CLINICS LLC

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

## Provider details

- **NPI number:** 1568903656
- **Authorized official:** TYAN PAYNE DC (OWNER)
- **Authorized official phone:** (907) 376-8020

## Contact information

- **Practice address:** 436 N MAIN ST, WASILLA, AK 99654-7018
- **Practice address phone:** (907) 376-8020
- **Mailing address:** 436 N MAIN ST, WASILLA, AK 99654-7018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 295 | AK | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017