Organization
PRECISION SPINAL FITNESS LLC
Active
Other names
Spinal Correction Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALAN HENRIKSEN DC (OWNER)
(480) 460-1177
Entity
Organization
Contact information
Practice address
1327 E CHANDLER BLVD STE 106, PHOENIX, AZ 85048-6272
(480) 460-1177
(480) 460-1114
Mailing address
1327 E CHANDLER BLVD STE 106, PHOENIX, AZ 85048-6272
(480) 460-1177
(480) 460-1114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7601
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952489486
TYPE 2
AZ
Enumeration date
11/18/2008
Last updated
11/18/2008
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