Organization
THE SPINE WORX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PUCKA D.C., L.AC. (OWNER)
(765) 446-0000
Entity
Organization
Contact information
Practice address
983 S CREASY LN, LAFAYETTE, IN 47905-4800
(765) 446-0000
(317) 245-2153
Mailing address
983 S CREASY LN, LAFAYETTE, IN 47905-4800
(765) 446-0000
(317) 245-2153
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
08001350
IN
Other
Enumeration date
07/02/2007
Last updated
06/04/2009
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