Organization
100 PERCENT CHIROPRACTIC
Active
Other names
Dr. Gary Mertz
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN JANELLE ROUSH (CHIEF FINANCIAL OFFICER)
(337) 477-0600
Entity
Organization
Contact information
Practice address
2301 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-7976
(337) 477-0600
(337) 474-4935
Mailing address
2301 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-7976
(337) 477-0600
(337) 474-4935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
LA
111NP0017X
Pediatric Chiropractor
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363
LOUISIANA STATE BOARD OF CHIROPRACTIC EXAMINERS
LA
Enumeration date
03/14/2018
Last updated
03/14/2018
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