Organization
SHOALS FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE RAY GVILLO DC (OWNER)
(256) 314-2213
Entity
Organization
Contact information
Practice address
907 AVALON AVE, MUSCLE SHOALS, AL 35661-2307
(256) 314-2213
(256) 251-6220
Mailing address
907 AVALON AVE STE B, MUSCLE SHOALS, AL 35661-2307
(256) 520-9369
(256) 251-6220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2575
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730666223
CHIROPRACTOR
AL
Enumeration date
07/30/2018
Last updated
04/03/2024
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