Healthcare Provider Details

I. General information

NPI: 1083236707
Provider Name (Legal Business Name): FORTIFY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 MAIN ST W
RAINSVILLE AL
35986-5955
US

IV. Provider business mailing address

PO BOX 443
RAINSVILLE AL
35986-0443
US

V. Phone/Fax

Practice location:
  • Phone: 256-960-9692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY L DABBS
Title or Position: OWNER
Credential: DC
Phone: 256-638-4228