Granite Run Chiropractic Ltd

NPI #1093748485 in Leola, Pennsylvania

Provider Information

NPI Number: 1093748485
Entity Type: Organization
Organization Name: Granite Run Chiropractic Ltd
Primary Specialty: Chiropractor
Enumeration Date: Jul 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 93A W MAIN ST
City: Leola
State: Pennsylvania
ZIP Code: 17540-1803
Phone: (717) 656-5422

Authorized Official

Name: DR. MICHAEL L FULLER, DC
Title: OWNER
Phone: (717) 656-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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