Provider Demographics
NPI:1871343608
Name:CHIROPHYSICS LLC
Entity type:Organization
Organization Name:CHIROPHYSICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-849-4646
Mailing Address - Street 1:114 E MAIN ST STE 217
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1274
Mailing Address - Country:US
Mailing Address - Phone:160-884-9464
Mailing Address - Fax:
Practice Address - Street 1:114 E MAIN ST STE 217
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1274
Practice Address - Country:US
Practice Address - Phone:160-884-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty