Moulton Chiropractic

NPI #1972037505 in Grapevine, Texas

Provider Information

NPI Number: 1972037505
Entity Type: Organization
Organization Name: Moulton Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Apr 20, 2017
Last Updated: Apr 20, 2017

Practice Location

Address: 621 N MAIN ST
Address 2: SUITE 415 & 440
City: Grapevine
State: Texas
ZIP Code: 76051-9213
Phone: (402) 577-0566

Authorized Official

Name: DR. KAEL MARIE MOULTON, D.C.
Title: CHIROPRACTOR
Phone: (402) 577-0566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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