Organization
ELEMENTAL BACK & BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER CRUTTENDEN DC (OWNER)
(530) 582-0500
Entity
Organization
Contact information
Practice address
10049 MARTIS VALLEY RD, UNIT E, TRUCKEE, CA 96161-0543
(530) 582-0500
(530) 582-0500
Mailing address
10049 MARTIS VALLEY RD, UNIT E, TRUCKEE, CA 96161-0543
(530) 582-0500
(530) 582-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31591
CA
171100000X
Acupuncturist
14604
CA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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