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General NPI Number Information
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NPI Number | 1548173412
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Entity Type | Organization
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Legal Business Name | ROOTED CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 50 BUFFALO ST
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City | HAMBURG
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State | NY
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Zip | 14075-5045
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Country | US
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Telephone | 716-374-0456
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Fax | 716-350-2865
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Provider Business Mailing Address
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Address Line | 5615 JOHNS TER
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City | HAMBURG
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State | NY
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Zip | 14075-7223
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Country | US
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Telephone | 716-374-0456
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | CLARICE BYRNE
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Credential | DC
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Telephone | 716-374-0456
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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 |
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License Number State |
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