Functional Athletic Rehabilitation And Medicine, Llc

NPI 1790106201 - Chiropractor - 111NR0400X

NPI Details
NPI 1790106201
Enumeration Date 12/31/2013
Last Updated 12/31/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BEAU RYAN BEAU
Position CEO/OWNER
Phone (205) 470-3971
Fax
Practice Location
13521 OLD HIGHWAY 280
SUITE 125
BIRMINGHAM AL, 35242-1405, US
Phone (205) 470-3971
Fax
Business Location
13521 SHELBY COUNTY 280
SUITE 125
BIRMINGHAM AL, 35242, US
Phone (205) 470-3971
Fax
Toxanomy
Taxonomy Code 111NR0400X
License State Alabama
License Number 2415
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According to our database, Functional Athletic Rehabilitation And Medicine, Llc NPI is 1790106201, taxonomy code is 111NR0400X and license number is 2415, license state is located at Alabama. Functional Athletic Rehabilitation And Medicine, Llc physically located at 13521 Old Highway 280, Birmingham AL, 35242-1405. NPI Number 1033115704 has the healthcare provider type.

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1790106201 NPI number is provided on an as is basis without warranty of any kind. 1790106201 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Athletic Rehabilitation And Medicine, Llc are for informational purposes only.