Organization
ELEVATE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE BARRY DC (OWNER)
(402) 933-4447
Entity
Organization
Contact information
Practice address
15615 PACIFIC ST STE 106, OMAHA, NE 68118-2187
(402) 933-4447
(402) 933-4857
Mailing address
15615 PACIFIC ST STE 106, OMAHA, NE 68118-2187
(402) 933-4447
(402) 933-4857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1942
NE
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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