Organization
SPINEFIT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE KOHL D.C. (OWNER)
(480) 298-9956
Entity
Organization
Contact information
Practice address
4550 E BELL RD, STE 152 BLDG 6, PHOENIX, AZ 85032-9306
(602) 258-9663
(602) 258-9664
Mailing address
4727 E BELL RD, STE 45-137, PHOENIX, AZ 85032-2308
(480) 298-9956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7860
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z142013
PTAN
AZ
Enumeration date
04/29/2014
Last updated
06/05/2014
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