ULTIMATE PERFORMANCE CHIROPRACTIC & REHAB, LLC (NPI# 1891122594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891122594 |
| Entity Type | Organization |
| Organization Name | ULTIMATE PERFORMANCE CHIROPRACTIC & REHAB, LLC |
| Practice Address |
646 W. Mcneese Street Lake Charles LA 70605 |
| Practice Telephone | 3374210010 |
| Practice Fax Number | 3374210032 |
| Mailing Telephone | 3374210010 |
| Mailing Fax Number | 3374210032 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | KYLE A DAIGLE (SOLE MEMBER) |
| Authorized Official Telephone | 3374210010 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1658 | LA | Chiropractic Providers |
| Street Address |
646 W. MCNEESE STREET |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1760997241 | Joseph A Livergood, Dc, LLC | Chiropractor | 640 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2017-12-06 |
| 1487039665 | Mayfield Chiropractic Lake Charles | Chiropractor | 3101 Lake St Ste 101, Lake Charles, LA 70601-8337 | 2015-07-29 |
| 1093116451 | Kaleb Deshotel | Chiropractor | 2626 Country Club Rd, Lake Charles, LA 70605-5912 | 2014-09-04 |
| 1871866756 | Kyle Anthony Daigle | Chiropractor | 313 Alamo Street, Suite B, Lake Charles, LA 70601-8528 | 2012-02-22 |
| 1972876845 | Jeremy Ross Ward | Chiropractor | 4211 Lake Street, Suite 20, Lake Charles, LA 70605 | 2012-02-22 |
| 1013299676 | Joseph A Livergood | Chiropractor | 730 Bayou Pines East Dr Ste A, Lake Charles, LA 70601-7494 | 2011-09-09 |
| 1649571936 | D A Hamer, D C (pc) | Chiropractor | 2903 Common St, Lake Charles, LA 70601-8534 | 2010-11-03 |
| 1730311085 | Bruce A. Maerhoferdcapc | Chiropractor | 4413 Lake St, Lake Charles, LA 70605-4311 | 2009-08-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on ULTIMATE PERFORMANCE CHIROPRACTIC & REHAB, LLC.
| 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.