Provider Demographics
NPI:1336025022
Name:SIERRA SPINE & FITNESS LLC
Entity type:Organization
Organization Name:SIERRA SPINE & FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-913-2919
Mailing Address - Street 1:582 SEARLS AVE
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-3029
Mailing Address - Country:US
Mailing Address - Phone:530-470-8500
Mailing Address - Fax:530-470-8320
Practice Address - Street 1:582 SEARLS AVE
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3029
Practice Address - Country:US
Practice Address - Phone:530-470-8500
Practice Address - Fax:530-470-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty