Individual
SPENCER REECE BRAUCHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6265 E 400 S, LAOTTO, IN 46763-9772
(260) 318-5285
Mailing address
6265 E 400 S, LAOTTO, IN 46763-9772
(260) 318-5285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08003146A
INDIANA STATE CHIROPRACTIC LICENSE NUMBER
IN
Enumeration date
02/01/2020
Last updated
02/01/2020
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