Organization
RED BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LYNN SIGVALDSON D.C. (OWNER)
(205) 936-2144
Entity
Organization
Contact information
Practice address
20032 HIGHWAY 11, UNIT 17, WOODSTOCK, AL 35188-3733
(205) 936-2144
(205) 424-9777
Mailing address
PO BOX 293, SHANNON, AL 35142-0293
(205) 936-2144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2054
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336249051
INDIVIDUAL NPI
AL
Enumeration date
04/09/2014
Last updated
04/17/2014
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