Organization
COASTAL CHIROPRACTIC AND ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD BRIAN WALTERS DC (OWNER/PRESIDENT)
(740) 808-2779
Entity
Organization
Contact information
Practice address
2130 BOURBON ST, FOLEY, AL 36535-2463
(740) 808-2779
Mailing address
2130 BOURBON ST, FOLEY, AL 36535-2463
(740) 808-2779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2478
AL
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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