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Organization

FOUNDATIONS HEALTH AND WELLNESS CENTER LLC

Active
Other names
Mount Angel Chiropractic, Foundations Chiropractic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JOHN PETRACCI DC (OWNER/CHIROPRACTOR)
(615) 991-5951
Entity
Organization

Contact information

Practice address
393 E MAIN ST STE 8, HENDERSONVILLE, TN 37075-2575
(615) 991-5951
(503) 845-6030
Mailing address
209 CROOKED CREEK LN, HENDERSONVILLE, TN 37075-6713
(503) 949-0235
(503) 845-9373

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/10/2014
Last updated
01/19/2024
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