Mount Shasta Chiropractic & Wellness
NPI #1255886503 in Mount Shasta, California
Provider Information
- NPI Number
- 1255886503
- Entity Type
- Organization
- Organization Name
- Mount Shasta Chiropractic & Wellness
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 16, 2016
- Last Updated
- Aug 16, 2016
Practice Location
- Address
- 1180 S MOUNT SHASTA BLVD
- Address 2
- SUITE C
- City
- Mount Shasta
- State
- California
- ZIP Code
- 96067-2764
- Phone
- (530) 926-1072
Authorized Official
- Name
- DR. NATHAN SIVANANDA, DC
- Title
- PHYSICIAN/OWNER
- Phone
- (530) 926-1072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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