Chirossage Wellness,inc

NPI #1558857409 in Aliso Viejo, California

Provider Information

NPI Number: 1558857409
Entity Type: Organization
Organization Name: Chirossage Wellness,inc
Primary Specialty: Chiropractor
Enumeration Date: Jul 3, 2018
Last Updated: Jul 3, 2018

Practice Location

Address: 11 MAREBLU STE 130
City: Aliso Viejo
State: California
ZIP Code: 92656-3053
Phone: (949) 326-7007

Authorized Official

Name: DR. KENNETH ILLSON, CHIROPRACTOR
Title: PRESIDENT
Phone: (949) 326-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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