Organization
PERFORMANCE SPINE AND SPORTS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY DAVID CREECH D.C. (CHIROPRACTOR)
(731) 796-6910
Entity
Organization
Contact information
Practice address
332 S 36TH ST, SUITE 3, QUINCY, IL 62301-5808
(731) 796-6910
Mailing address
535 JONES RD, UNION CITY, TN 38261-9023
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038011628
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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