Aqua Haven Chiropractic

NPI #1962775718 in Lakeway, Texas

Provider Information

NPI Number: 1962775718
Entity Type: Organization
Organization Name: Aqua Haven Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Feb 9, 2012
Last Updated: Feb 9, 2012

Practice Location

Address: 107 RANCH ROAD 620 SOUTH
Address 2: SUITE 105
City: Lakeway
State: Texas
ZIP Code: 78734-3901
Phone: (512) 266-7684

Authorized Official

Name: JINGER R POTH, D.C.
Title: DOCTOR OF CHIROPRACTIC
Phone: (512) 508-0632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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