Organization
STRACK CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization
STRACK CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHARLES STRACK DC (OWNER)
(678) 480-6075
Entity
Organization
Contact information
Practice address
246 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668
Mailing address
246 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
111NT0100X
Thermography Chiropractor
—
—
111NX0100X
Occupational Health Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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