IndividualActive
Michael Fossum
NPI 1790991958 · Rehabilitation Chiropractor · Mesa, AZ
Provider details
- NPI number
- 1790991958
- Entity type
- Individual
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 7027 (AZ)
Specialties & taxonomies
Chiropractic Providers
Practice location
1830 S Alma School Rd Ste 116
Mesa, AZ 85210-3086
Phone: (480) 222-5169
Fax: (480) 222-5163
Approximate (ZIP-level) locationGet directions
Mailing address
1252 N Santa Anna St
Chandler, AZ 85224-8592
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.