Organization
ADIO AHWATUKEE LLC
Active
Other names
Body Shape solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH MICHAEL SMITH DC (OWNER)
(480) 598-6367
Entity
Organization
Contact information
Practice address
4450 S RURAL RD, BLDG B SUITE 132, TEMPE, AZ 85282-7037
(480) 598-6367
Mailing address
4450 S RURAL RD, BLDG B SUITE 132, TEMPE, AZ 85282-7037
(480) 598-6367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4097
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912963836
NPI
—
Enumeration date
03/03/2014
Last updated
03/03/2014
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