Healthcare Provider Details

I. General information

NPI: 1629469465
Provider Name (Legal Business Name): HARDENBROOK CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10594 COMBIE RD SUITE 2
AUBURN CA
95602-8988
US

IV. Provider business mailing address

10594 COMBIE RD SUITE 2
AUBURN CA
95602-8988
US

V. Phone/Fax

Practice location:
  • Phone: 530-268-2623
  • Fax:
Mailing address:
  • Phone: 530-268-2623
  • 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. KENT W HARDENBROOK
Title or Position: OWNER/CEO
Credential: D.C.
Phone: 530-268-2673