Organization
EVOLVED INCORPORATED
Active
Other names
Evolve Chiropractic Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE HICKOK DC (OWNER/DIRECTOR)
(775) 870-9654
Entity
Organization
Contact information
Practice address
800 W 2ND ST UNIT 100, RENO, NV 89503-5696
(775) 870-9654
Mailing address
800 W 2ND ST UNIT 100, RENO, NV 89503-5696
(775) 870-9654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083080626
—
NV
Enumeration date
06/04/2024
Last updated
06/13/2024
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