Active NPIOrganization

60002 Avondale Rehabilitation Center

Chiropractor in Avondale, Arizona

NPI Number1700033412
Practice location
12409 W Indian School RD, B210, Avondale, AZ 85392-9502
Fax
—
Last updated
August 29, 2008

60002 Avondale Rehabilitation Center is a healthcare organization based in Avondale, AZ. The NPI number for 60002 Avondale Rehabilitation Center is 1700033412 and holds license No. 7536 (AZ). The current practice location address is 12409 W Indian School RD, B210, Avondale, AZ 85392-9502 and the office can be reached by phone at 623-935-9920. The NPI was assigned on August 25, 2008 and the record was last updated in NPPES on August 29, 2008.

●Provider Profile Details

NPI Number
1700033412
Provider Name
60002 Avondale Rehabilitation Center
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Krista Marie Gerau, DC · Owner · 623-935-9920
Enumeration Date
August 25, 2008
Last Update Date
August 29, 2008
NPI Status
Active

◉Business Practice Location Address

Address
12409 W Indian School RD
B210
Avondale, AZ 85392-9502
State
Arizona
ZIP
85392-9502
Country
US
Phone Number
623-935-9920

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✉Business Mailing Address

Address
Po Box 2954
Phoenix, AZ 85082-2954
City
Phoenix
State
AZ
ZIP
85082-2954
Phone Number
623-935-9920

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Chiropractor
193400000X - Single Specialty Group
111N00000XYes7536AZ

#Other Provider Identifiers

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

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?Frequently Asked Questions

What is the NPI number of 60002 Avondale Rehabilitation Center?

The NPI number of 60002 Avondale Rehabilitation Center is 1700033412. It was assigned on August 25, 2008 and is currently active in the NPPES registry.

What is the specialty of 60002 Avondale Rehabilitation Center?

60002 Avondale Rehabilitation Center is registered under the primary taxonomy Chiropractor (code 111N00000X) and holds license No. 7536 (AZ).

Where does 60002 Avondale Rehabilitation Center practice?

The practice location is 12409 W Indian School RD, B210, Avondale, AZ 85392-9502. The office can be reached at 623-935-9920 (phone).

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 1700033412 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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