Spine and Sport of Slidell, LLC

NPI #1457100729 in Slidell, Louisiana

Provider Information

NPI Number: 1457100729
Entity Type: Organization
Organization Name: Spine and Sport of Slidell, LLC
Primary Specialty: Chiropractor
Enumeration Date: May 17, 2024
Last Updated: May 17, 2024

Practice Location

Address: 436 OLD SPANISH TRL
City: Slidell
State: Louisiana
ZIP Code: 70458-3904
Phone: (985) 641-4898

Authorized Official

Name: KYLE W SMITH, DC
Title: OWNER
Phone: (985) 290-0893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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