Healthcare Provider Details
I. General information
NPI: 1386450088
Provider Name (Legal Business Name): HENRY-BURNETT CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22295 HWY 6 AND 19
CAMBRIDGE SPRINGS PA
16403-3461
US
IV. Provider business mailing address
22295 HWY 6 AND 19
CAMBRIDGE SPRINGS PA
16403-3461
US
V. Phone/Fax
- Phone: 814-853-9599
- Fax: 814-398-2903
- Phone: 814-853-9599
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ELIZABETH
HENRY-BURNETT
Title or Position: OWNER
Credential: DC
Phone: 814-398-2887