Provider Demographics
NPI:1194264440
Name:HORTON SPINE & SPORT, LLC
Entity type:Organization
Organization Name:HORTON SPINE & SPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-259-8106
Mailing Address - Street 1:720 E 9TH ST
Mailing Address - Street 2:#3
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2635
Mailing Address - Country:US
Mailing Address - Phone:785-259-8106
Mailing Address - Fax:
Practice Address - Street 1:720 E 9TH ST
Practice Address - Street 2:#3
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2635
Practice Address - Country:US
Practice Address - Phone:785-259-8106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty