Ava Self Management

NPI #1700191525 in Waco, Texas

Provider Information

NPI Number: 1700191525
Entity Type: Organization
Organization Name: Ava Self Management
Primary Specialty: Chiropractor
Enumeration Date: Aug 17, 2010
Last Updated: Aug 17, 2010

Practice Location

Address: 3001 W WACO DR
Address 2: SUITE B
City: Waco
State: Texas
ZIP Code: 76707-3272
Phone: (254) 756-4040

Authorized Official

Name: MRS. VICKI RIDDLING ELLISON
Title: CEO
Phone: (254) 756-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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