Healthcare Provider Details

I. General information

NPI: 1841362498
Provider Name (Legal Business Name): PERKINS CHIROPRACTIC & PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 HAMMOND LN SUITE A
PLATTSBURGH NY
12901-2000
US

IV. Provider business mailing address

87 HAMMOND LN SUITE A
PLATTSBURGH NY
12901-2000
US

V. Phone/Fax

Practice location:
  • Phone: 518-324-6090
  • Fax:
Mailing address:
  • Phone: 518-324-6090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010884-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX011137-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number025940-1
License Number StateNY

VIII. Authorized Official

Name: DR. AARON PERKINS
Title or Position: MEMBER
Credential: D.C., PT
Phone: 518-324-6090