Provider Demographics
NPI:1063602373
Name:SOMAWORK CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SOMAWORK CHIROPRACTIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TARQUINIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-327-4191
Mailing Address - Street 1:4626 E FORT LOWELL RD STE H
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1127
Mailing Address - Country:US
Mailing Address - Phone:520-327-4191
Mailing Address - Fax:520-327-4310
Practice Address - Street 1:3210 E FORT LOWELL RD STE 105
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1682
Practice Address - Country:US
Practice Address - Phone:928-308-5217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty