Provider Demographics
NPI:1073355202
Name:ATHLETERX CHIROPRACTIC AND RECOVERY PLLC
Entity type:Organization
Organization Name:ATHLETERX CHIROPRACTIC AND RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCHIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-626-3374
Mailing Address - Street 1:535 YELLOWSTONE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5758
Mailing Address - Country:US
Mailing Address - Phone:704-386-1485
Mailing Address - Fax:
Practice Address - Street 1:535 YELLOWSTONE DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5758
Practice Address - Country:US
Practice Address - Phone:704-386-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty