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NPI 1992671663

OrganizationActive

1632 E Cottonwood St Units a & B LLC

NPI 1992671663 · Chiropractor · Cottonwood, AZ

Provider details

NPI number: 1992671663
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Blaine Upham, Member

Practice location

1632 E Cottonwood St Ste a

Cottonwood, AZ 86326-4692

Phone: (928) 646-9220

More AZ providers

Mailing address

1632 E Cottonwood St Ste a

Cottonwood, AZ 86326-4692

Registry dates

Enumerated: 2025-10-10
Last updated: 2025-10-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1632 E Cottonwood St Units a & B LLC — NPI 1992671663, Cottonwood, AZ | NPI Central