Mystic Spine & Sport LLC

NPI #1952692592 in Mystic, Connecticut

Provider Information

NPI Number: 1952692592
Entity Type: Organization
Organization Name: Mystic Spine & Sport LLC
Primary Specialty: Chiropractor
Enumeration Date: May 1, 2011
Last Updated: Feb 2, 2024

Practice Location

Address: 12 COOGAN BLVD STE 204
City: Mystic
State: Connecticut
ZIP Code: 06355-1938
Phone: (860) 245-4620

Authorized Official

Name: DR. TYLER CURTIS PAGE, D.C.
Title: OWNER/DOCTOR
Phone: (860) 245-4620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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