Organization
LIGHTFOOT CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN D LIGHTFOOT CLINIC OWNER (OWNER)
(334) 875-7163
Entity
Organization
Contact information
Practice address
2117 BROAD STREET, SELMA, AL 36701
(334) 875-7163
(334) 875-7138
Mailing address
2117 BROAD STREET, SELMA, AL 36701
(334) 875-7163
(334) 875-7138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A0099
AL
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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