C1 Legacy Llc

NPI 1164799227 - Chiropractor - 111N00000X

NPI Details
NPI 1164799227
Enumeration Date 11/17/2011
Last Updated 05/02/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KELLYE KELLYE
Position OWNER
Phone (325) 655-3666
Fax
Practice Location
225 S DAVID ST
SAN ANGELO TX, 76903-6335, US
Phone (325) 655-3666
Fax
Business Location
225 S DAVID ST
SAN ANGELO TX, 76903-6335, US
Phone (325) 655-3666
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Texas
License Number 10157
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According to our database, C1 Legacy Llc NPI is 1164799227, taxonomy code is 111N00000X and license number is 10157, license state is located at Texas. C1 Legacy Llc physically located at 225 S David St, San Angelo TX, 76903-6335. NPI Number 1033115704 has the healthcare provider type.

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1164799227 NPI number is provided on an as is basis without warranty of any kind. 1164799227 is maintained by the National Plan & Provider Enumeration System. The contents of C1 Legacy Llc are for informational purposes only.