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General NPI Number Information
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NPI Number | 1063723419
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Entity Type | Organization
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Legal Business Name | CHIROMED SPINE & REHAB CENTER INC.
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 2691 SANDLIN RD SW SUITE A
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City | DECATUR
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State | AL
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Zip | 35601-7361
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Country | US
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Telephone | 256-353-4600
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Fax | 256-353-2352
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Provider Business Mailing Address
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Address Line | 2691 SANDLIN RD SW SUITE A
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City | DECATUR
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State | AL
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Zip | 35601-7361
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Country | US
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Telephone | 256-353-4600
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Fax | 256-353-2352
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRAVIS ALLAN LOWMAN
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Credential | DC
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Telephone | 256-353-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1343
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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