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General NPI Number Information
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NPI Number | 1902099757
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH SPINE & SPORT, P.C.
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2843 E GRAND RIVER AVE SUITE 170
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City | EAST LANSING
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State | MI
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Zip | 48823-6722
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Country | US
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Telephone | 517-337-7463
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Fax | 517-337-7453
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Provider Business Mailing Address
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Address Line | 2843 E GRAND RIVER AVE STE 170
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City | EAST LANSING
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State | MI
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Zip | 48823-6723
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Country | US
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Telephone | 517-337-7463
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Fax | 517-337-7453
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH EARL ROGERS
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Credential | DC
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Telephone | 517-337-7463
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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 | 2301008037
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License Number State | MI
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