Active NPIOrganization

Sport, Spine & Rehab, LLC

Chiropractor in Eliot, Maine

NPI Number1164661955
Practice location
28 Levesque Dr, Suite 9, Eliot, ME 03903
Fax
207-703-0289
Last updated
June 13, 2014

Sport, Spine & Rehab, LLC is a healthcare organization based in Eliot, ME. Sport, Spine & Rehab, LLC practices in Eliot, ME. The NPI Number for Sport, Spine & Rehab, LLC is 1164661955 and holds a License No. CR1465 (ME). The current practice location address for Sport, Spine & Rehab, LLC is 28 Levesque Dr, Suite 9, Eliot, ME 03903 and can be reached out via phone at 207-439-9045 and via fax at 207-703-0289.

Provider Profile Details

NPI Number
1164661955
Provider Name
Sport, Spine & Rehab, LLC
Provider Entity Type
Organization
Address
28 Levesque Dr, Suite 9, Eliot, ME 03903
Phone Number
207-439-9045
Fax Number
207-703-0289
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Patricia Grace Wentworth, DC, ATC · Owner · 207-439-9045
Provider Enumeration Date
February 18, 2009
Last Update Date
June 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Levesque Dr
Suite 9
Eliot, ME 03903
City
Eliot
State
Maine
Zip
03903
Phone Number
207-439-9045
Fax Number
207-703-0289
Eliot, ME 03903Get directions →

Provider Business Mailing Address Details

Address
28 Levesque Dr
Suite 9
Eliot, ME 03903-2078
City
Eliot
State
ME
Zip
03903-2078
Phone Number
207-439-9045
Fax Number
207-703-0289

License Information

License Number
CR1465
License State
ME
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Chiropractors near Eliot, ME

View all Chiropractors in Eliot →

Frequently Asked Questions

What is the NPI number of Sport, Spine & Rehab, LLC?

The NPI number of Sport, Spine & Rehab, LLC is 1164661955. It was assigned on February 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Sport, Spine & Rehab, LLC?

Sport, Spine & Rehab, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in ME under license number CR1465.

Where does Sport, Spine & Rehab, LLC practice?

The practice location is 28 Levesque Dr, Suite 9, Eliot, ME 03903. The office can be reached at 207-439-9045 (phone) or 207-703-0289 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164661955 directly on the NPPES registry website.

Browse related providers