Healthcare Provider Details

I. General information

NPI: 1891635660
Provider Name (Legal Business Name): THE SPINE FAMILY CHIROPRACTIC P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5294 BROADWAY STREET, SUITE 1
LANCASTER NY
14086
US

IV. Provider business mailing address

5294 BROADWAY STREET, SUITE 1
LANCASTER NY
14086
US

V. Phone/Fax

Practice location:
  • Phone: 716-288-5667
  • Fax:
Mailing address:
  • Phone: 716-288-5667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXANDRA THOMPSON
Title or Position: OWNER
Credential:
Phone: 607-205-7721