Icarus Chiropractic LLC
NPI #1225492465 in Clymer, Pennsylvania
Provider Information
- NPI Number
- 1225492465
- Entity Type
- Organization
- Organization Name
- Icarus Chiropractic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 13, 2016
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 210 6TH ST
- Address 2
- SUITE 7
- City
- Clymer
- State
- Pennsylvania
- ZIP Code
- 15728-1257
- Phone
- (724) 422-8070
Authorized Official
- Name
- DR. JOHNATHAN CLARK, DC
- Title
- OWNER
- Phone
- (724) 422-8070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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