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General NPI Number Information
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NPI Number | 1841176013
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Entity Type | Organization
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Legal Business Name | RISE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1453 RIO RANCHO BLVD SE STE 2
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City | RIO RANCHO
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State | NM
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Zip | 87124-1837
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Country | US
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Telephone | 505-225-1468
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Fax |
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Provider Business Mailing Address
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Address Line | 11024 MONTGOMERY BLVD NE # 310
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3962
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Country | US
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Telephone | 505-225-1468
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BENJAMIN SCOTT LAFLER
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Credential | DC
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Telephone | 505-506-8507
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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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