Central Sport and Spine LLC

NPI #1114352853 in Bend, Oregon

Provider Information

NPI Number: 1114352853
Entity Type: Organization
Organization Name: Central Sport and Spine LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 12, 2013
Last Updated: Jan 27, 2014

Practice Location

Address: 160 SW SCALEHOUSE LOOP
Address 2: SUITE 140
City: Bend
State: Oregon
ZIP Code: 97702-1284
Phone: (541) 617-9969

Authorized Official

Name: JAMES THORNBURG
Title: SOLE MEMBER
Phone: (503) 317-2944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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