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Organization
REACTIV SPORT AND SPINE, LLC
Active
Organization
REACTIV SPORT AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TYLER ALLEN DC (OWNER)
(972) 850-1446
Entity
Organization
Contact information
Practice address
710 E PARK BLVD STE 110, PLANO, TX 75074-8854
(972) 850-1446
Mailing address
710 E PARK BLVD STE 110, PLANO, TX 75074-8854
(972) 850-1446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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