Organization
MODERN CHIROPRACTIC COMPANY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS TADD TERRY DC (OWNER)
(480) 701-8201
Entity
Organization
Contact information
Practice address
670 N 54TH ST STE 1, CHANDLER, AZ 85226-1529
(480) 701-8201
(480) 701-8201
Mailing address
670 N 54TH ST STE 1, CHANDLER, AZ 85226-1529
(480) 701-8201
(480) 701-8201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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