Destin Legacy INC

NPI #1659932291 in Plano, Texas

Provider Information

NPI Number: 1659932291
Entity Type: Organization
Organization Name: Destin Legacy INC
Primary Specialty: Chiropractor
Enumeration Date: Jun 25, 2019
Last Updated: May 4, 2022

Practice Location

Address: 2200 LOS RIOS BLVD STE 127
City: Plano
State: Texas
ZIP Code: 75074-3478
Phone: (972) 424-4266

Authorized Official

Name: CRYSTAL LINSTEADT, LMT
Title: PRESIDENT
Phone: (972) 424-4266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Chiropractor	111N00000X	Primary

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