Organization
PERFORMANCE HEALTH SPINE & SPORT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT COAPLAND DC, CSCS, ART (CHIROPRACTOR/OWNER)
(603) 724-2297
Entity
Organization
Contact information
Practice address
91A N STATE ST, CONCORD, NH 03301-4334
(603) 724-2297
(603) 369-3017
Mailing address
91A N STATE ST, CONCORD, NH 03301-4334
(603) 724-2297
(603) 369-3017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7850407
NH
111N00000X
Chiropractor
965
NH
225100000X
Physical Therapist
20597
MA
225100000X
Physical Therapist
3813
NH
Other
Enumeration date
02/27/2012
Last updated
07/30/2015
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