SPORTS INJURY CHIROPRACTIC (NPI# 1639780596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639780596 |
| Entity Type | Organization |
| Organization Name | SPORTS INJURY CHIROPRACTIC |
| Other Organization Name | SPORTS, PERSONAL INJURY AND CHIROPRACTIC CONSULTING LLC |
| Practice Address |
8867 Eagle Place Loop Eagle River AK 99577-8844 |
| Mailing Address |
125 N Willow St Ste B Kenai AK 99611-7702 |
| Practice Telephone | 9077263668 |
| Mailing Telephone | 9077263668 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | DR. RICHARD WOOLLEY (OWNER) |
| Authorized Official Telephone | 9077263668 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Sports, Personal Injury and Chiropractic Consulting LLC | Other Name - Individual/Organization |
| Street Address |
8867 EAGLE PLACE LOOP |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335404 | Tami Lynn Hedges | Chiropractor | 13475 Charmley Cir, Eagle River, AK 99577-6825 | 2019-09-14 |
| 1134645682 | Eagle Family Chiropractic | Chiropractor | 701 N Railroad St, Eagle River, WI 54521-8833 | 2017-08-16 |
| 1891198875 | Arctic Chiropractic & Physical Medicine Eagle River LLC | Chiropractor | 11431 Business Blvd Ste 601, Eagle River, AK 99577-7738 | 2014-10-03 |
| 1609021856 | Lakes Chiropractic & Wellness Sc | Chiropractor | 761 Us Highway 45 S, Eagle River, WI 54521-9110 | 2008-12-01 |
| 1740494863 | Gregory M Culbert | Chiropractor | 11723 Old Glenn Hwy Ste 101, Eagle River, AK 99577-7749 | 2007-05-09 |
| 1952466781 | Draeger Chiropractic Clinic, S.c. | Chiropractor | 302b W Pine Street, Eagle River, WI 54521-2708 | 2006-12-22 |
| 1477613164 | Charles Dennis Wolter | Chiropractor | 4340 Otter Lake Road, Eagle River, WI 54521-1567 | 2006-12-11 |
| 1427131739 | Susan J Anderson | Chiropractor | 16331 Heritage Pl Ste 101, Eagle River, AK 99577-7753 | 2006-10-23 |
| 1780774117 | Myron Gay Schweigert | Chiropractor | 11462 Business Blvd, Eagle River, AK 99577-0849 | 2006-10-14 |
| 1710076856 | Northern Chiropractic, PC | Chiropractor | 11723 Old Glenn Hwy #101, Eagle River, AK 99577-7749 | 2006-10-12 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on SPORTS INJURY CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.