Spine and Rehabilitation Center

NPI #1841208022 in Austin, Texas

Provider Information

NPI Number: 1841208022
Entity Type: Organization
Organization Name: Spine and Rehabilitation Center
Primary Specialty: Chiropractor
Enumeration Date: Aug 4, 2006
Last Updated: Aug 14, 2008

Practice Location

Address: 3724 EXECUTIVE CENTER DR
Address 2: SUITE G-10
City: Austin
State: Texas
ZIP Code: 78731-1646
Phone: (512) 345-5925

Authorized Official

Name: JODI ATCHLEY
Title: CHIEF OPERATING OFFICER
Phone: (512) 345-5935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Physician Assistant	363A00000X
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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