Select Spine & Rehab LLC

NPI #1376930305 in Edwardsville, Illinois

Provider Information

NPI Number: 1376930305
Entity Type: Organization
Organization Name: Select Spine & Rehab LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 16, 2015
Last Updated: Jun 10, 2015

Practice Location

Address: 4 157 CTR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3657
Phone: (618) 235-4357

Authorized Official

Name: DR. CHRISTOPHER S WORTH, D.C.
Title: PRESIDENT
Phone: (618) 235-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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