Organization
SPINE AND SPORT OF SLIDELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE W SMITH DC (OWNER)
(985) 290-0893
Entity
Organization
Contact information
Practice address
436 OLD SPANISH TRL, SLIDELL, LA 70458-3904
(985) 641-4898
Mailing address
520 N CALEB DR, SLIDELL, LA 70461-5713
(985) 290-0893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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