Organization
MUTHERSBAUGH CHIROPRACTIC, INC.
Active
Organization
MUTHERSBAUGH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL MUTHERSBAUGH DC (PRESIDENT)
(203) 333-7100
Entity
Organization
Contact information
Practice address
1495 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4165
(203) 333-7100
(203) 333-0811
Mailing address
1495 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4165
(203) 333-7100
(203) 333-0811
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
10/08/2009
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