Healthcare Provider Details

I. General information

NPI: 1174644264
Provider Name (Legal Business Name): TOUCH OF HEALTH CHIROPRACTIC DEER VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 W UNION HILLS DR SUITE 7
PHOENIX AZ
85027-6629
US

IV. Provider business mailing address

602 W UNION HILLS DR SUITE 7
PHOENIX AZ
85027-6629
US

V. Phone/Fax

Practice location:
  • Phone: 623-492-0999
  • Fax: 623-492-0888
Mailing address:
  • Phone: 623-492-0999
  • Fax: 623-492-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7373
License Number StateAZ

VIII. Authorized Official

Name: ADRIAN G. RETAMOZA
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 623-490-0999