Doctor Name: | KAI BORGSTROM |
NPI Number: | 1821220435 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., C.C.S.P. |
License Number: | 10478 |
Business Practice Address: | 3033 Marina Bay Dr Suite 200 League City, TX - 775733984 |
Business Phone Number: | 2813349300 |
Business Fax Number: | 2813349301 |
Mailing Address: | 3033 Marina Bay Dr, Suite 200 LEAGUE CITY |
State: | TX |
Postal Code: | 775733984 |
Phone Number: | 2813349300 |
Fax Number: | 2813349301 |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 10478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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. |