Healthcare Provider Details

I. General information

NPI: 1316872641
Provider Name (Legal Business Name): LUKE SPALDING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 NORTHLAND DR NE
ROCKFORD MI
49341-1417
US

IV. Provider business mailing address

355 NORTHLAND DR NE
ROCKFORD MI
49341-1417
US

V. Phone/Fax

Practice location:
  • Phone: 616-866-6083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401746
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: