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NPI Code Detail

MEDICARE: ELEVATE SPINAL REHAB

MEDICARE: ELEVATE SPINAL REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1023840501
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATE SPINAL REHAB
Provider Business Mailing Address
First Line : 840 PINNACLE CT STE 5A
Second Line :
City : MESQUITE
State : NV
Zip : 89027-3322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 840 PINNACLE CT STE 5A
Second Line :
City : MESQUITE
State : NV
Zip : 89027-3322
Country : US
Telephone Number : 702-346-5030
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PHILLIP HAMILTON
Credential : DC
Telephone Number : 702-346-5030
Provider Enumeration Date : 08/14/2024
Last Update Date : 08/29/2024

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Directions to “ELEVATE SPINAL REHAB ” Practice Location

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