Lake Travis Chiropractic, Pllc

NPI #1396187589 in Lakeway, Texas

Provider Information

NPI Number: 1396187589
Entity Type: Organization
Organization Name: Lake Travis Chiropractic, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jul 29, 2013
Last Updated: Oct 10, 2014

Practice Location

Address: 1603 RANCH ROAD 620 N
City: Lakeway
State: Texas
ZIP Code: 78734-2693
Phone: (512) 548-6576

Authorized Official

Name: MARISKA VISSER, D.C.
Title: OWNER/SOLE MEMBER
Phone: (512) 548-6576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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