Doctor Name: | DR. RYAN ARMETTA |
NPI Number: | 1114266400 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 038012351 |
Business Practice Address: | 1002 Commercial Dr Ste 3 Mahomet, IL - 618538537 |
Business Phone Number: | 2175867535 |
Business Fax Number: | |
Mailing Address: | 1002 Commercial Dr, Ste 3 MAHOMET |
State: | IL |
Postal Code: | 618538537 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038012351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |