Organization
CREATIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D GACKSTETTER DC (OWNER)
(954) 364-6270
Entity
Organization
Contact information
Practice address
1685 W 49TH ST, STE 1104, HIALEAH, FL 33012-2995
(954) 364-6270
(954) 252-2132
Mailing address
1685 W 49TH ST, STE 1104, HIALEAH, FL 33012-2995
(954) 364-6270
(954) 252-2132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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