Outback Chiropractic LLC
Chiropractor · Saint Johns, AZ
Practice location
1200 W. ClevelandSaint Johns, AZ 85936-1200
- Phone
- (928) 337-3125
- Fax
- (928) 337-3291
NPI record
- NPI
- 1811175482
- Entity type
- Organization (Type 2)
- Enumeration date
- February 6, 2008
- Last updated
- February 6, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
— | — |
Mailing address
PO Box 2578Saint Johns, AZ 85936-2578
- Phone
- (928) 337-3125
- Fax
- (928) 337-3291
Authorized official
- Name
- Lanny Craig Crockett, DC
- Title
- Owner/President
- Phone
- (928) 337-3125
About Outback Chiropractic LLC
Outback Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1200 W. Cleveland, Saint Johns, AZ 85936-1200. The NPI number 1811175482 was assigned on February 6, 2008 and the record was last updated on February 6, 2008.
The authorized official for this organization is Lanny Craig Crockett, DC, Owner/President.
Frequently asked questions
What is the NPI number of Outback Chiropractic LLC?
The NPI number is 1811175482.
What is the phone number of Outback Chiropractic LLC?
The phone number listed for the practice location is (928) 337-3125.
Where is Outback Chiropractic LLC located?
1200 W. Cleveland, Saint Johns, AZ 85936-1200.
What is the taxonomy code for Outback Chiropractic LLC?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.