Healthcare Provider Details

I. General information

NPI: 1063809853
Provider Name (Legal Business Name): EASY REACH CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 10TH AVE N
LAKE WORTH FL
33461
US

IV. Provider business mailing address

PO BOX 4551
BOYNTON BEACH FL
33424-4551
US

V. Phone/Fax

Practice location:
  • Phone: 561-530-4602
  • Fax:
Mailing address:
  • Phone: 561-530-4602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA ADONIS
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C
Phone: 561-530-4602