# YUCHA MEDICAL PAIN MANAGEMENT AND CHIROPRACTIC REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1578921516
- **Authorized official:** RANDOLPH E. YUCHA DC (OWNER)
- **Authorized official phone:** (610) 326-2706

## Contact information

- **Practice address:** 435 W CEDARVILLE RD, POTTSTOWN, PA 19465-7406
- **Practice address phone:** (610) 326-2706
- **Practice address fax:** (610) 327-4324
- **Mailing address:** 435 W CEDARVILLE RD, POTTSTOWN, PA 19465-7406
- **Mailing address phone:** (610) 326-2706
- **Mailing address fax:** (610) 327-4324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2CH-0019776 | PA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD032971E | PA | Yes |

## Other

- **Enumeration date:** 02/05/2016
- **Last updated:** 03/29/2016
