Simi Spine and Wellness a Chiropractic Corporation of Shawn Decloedt

NPI #1366005704 in Simi Valley, California

Provider Information

NPI Number: 1366005704
Entity Type: Organization
Organization Name: Simi Spine and Wellness a Chiropractic Corporation of Shawn Decloedt
Primary Specialty: Chiropractor
Enumeration Date: Apr 22, 2019
Last Updated: Apr 19, 2022

Practice Location

Address: 3655 ALAMO ST STE 201
City: Simi Valley
State: California
ZIP Code: 93063-2187
Phone: (805) 581-2310

Authorized Official

Name: DR. SHAWN STUART DECLOEDT, DC
Title: PRESIDENT
Phone: (805) 581-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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