Organization
INTEGRATIVE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN RUSSELL D.C (OWNER)
(205) 637-1363
Entity
Organization
Contact information
Practice address
1580 MONTGOMERY HWY, SUITE 14, HOOVER, AL 35216-4586
(205) 637-1363
(205) 637-1391
Mailing address
1580 MONTGOMERY HWY, SUITE 14, HOOVER, AL 35216-4586
(205) 637-1363
(205) 637-1391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2449
AL
Other
Enumeration date
06/26/2015
Last updated
08/27/2015
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