Organization
ULTIMATE PERFORMANCE CHIROPRACTIC & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE A DAIGLE DC (SOLE MEMBER)
(337) 421-0010
Entity
Organization
Contact information
Practice address
646 W. MCNEESE STREET, LAKE CHARLES, LA 70605
(337) 421-0010
(337) 421-0032
Mailing address
646 W. MCNEESE STREET, LAKE CHARLES, LA 70605
(337) 421-0010
(337) 421-0032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1658
LA
Other
Enumeration date
09/26/2013
Last updated
12/04/2014
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