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Mystic Spine & Sport Llc
Chiropractor in Mystic, Connecticut
NPI 1952692592

Mystic Spine & Sport Llc is a Chiropractor based in Mystic, CT. Mystic Spine & Sport Llc practices in Mystic, CT. The NPI Number for Mystic Spine & Sport Llc is 1952692592 and holds a License No. (Connecticut).

The current practice location address for Mystic Spine & Sport Llc is 12 Coogan Blvd Ste 204, Mystic, CT and can be reached out via phone at 860-245-4620 and via fax at 860-245-5752.

Location: 12 Coogan Blvd Ste 204, Mystic, CT, 06355-1938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952692592
Provider Name
Mystic Spine & Sport Llc
Credential
Provider Entity Type
Organization
Address
12 Coogan Blvd Ste 204, Mystic, CT, 06355-1938
Phone Number
860-245-4620
Fax Number
860-245-5752
Provider Enumeration Date
05/01/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
12 Coogan Blvd Ste 204
City
Mystic
State
Connecticut
Zip
06355-1938
Phone Number
860-245-4620
Fax Number
860-245-5752
person
Provider Business Mailing Address Details
Address
12 Coogan Blvd Ste 204
City
Mystic
State
Connecticut
Zip
06355-1938
Phone Number
860-245-4620
Fax Number
860-245-5752
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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