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Organization

HENRICKSEN CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB HENRICKSEN DC (OWNER/PROVIDER)
(907) 723-2853
Entity
Organization

Contact information

Practice address
250 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(907) 723-2853
Mailing address
250 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(907) 723-2853

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/17/2025
Last updated
03/18/2025
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