Organization
GENESIS PERFORMANCE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VERMEESCH DC (OWNER)
(484) 941-4345
Entity
Organization
Contact information
Practice address
102 S PINE ST, ELVERSON, PA 19520-9241
(610) 286-9991
(610) 286-0265
Mailing address
102 S PINE ST, ELVERSON, PA 19520-9241
(610) 286-9991
(610) 286-0265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010795
PA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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