Performance Spine and Sports Center, LLC

NPI #1386967099 in Quincy, Illinois

Provider Information

NPI Number: 1386967099
Entity Type: Organization
Organization Name: Performance Spine and Sports Center, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 9, 2010
Last Updated: Mar 9, 2010

Practice Location

Address: 332 S 36TH ST
Address 2: SUITE 3
City: Quincy
State: Illinois
ZIP Code: 62301-5808
Phone: (731) 796-6910

Authorized Official

Name: DR. WESLEY DAVID CREECH, D.C.
Title: CHIROPRACTOR
Phone: (731) 796-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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