Organization
DE-KNOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY EPEL (FRANCHISEE)
(719) 217-0895
Entity
Organization
Contact information
Practice address
15620 N TATUM BLVD STE 130, PHOENIX, AZ 85032-4450
(026) 612-2009
Mailing address
15620 N TATUM BLVD STE 130, PHOENIX, AZ 85032-4450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
03/03/2022
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