Organization
HOMETOWN CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN M DENNIS (ADMIN ASSIST/CREDENTIALING SPEC)
(360) 554-8054
Entity
Organization
Contact information
Practice address
119 MAIN ST STE 2, BOONVILLE, NY 13309-1385
(315) 358-4031
Mailing address
119 MAIN ST STE 2, BOONVILLE, NY 13309-1385
(315) 358-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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