Provider Demographics
NPI:1699575340
Name:AGAPE FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:AGAPE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-597-4344
Mailing Address - Street 1:1300 S LITCHFIELD RD STE 220R
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1513
Mailing Address - Country:US
Mailing Address - Phone:480-597-4344
Mailing Address - Fax:602-497-2476
Practice Address - Street 1:1300 S LITCHFIELD RD STE 220R
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1513
Practice Address - Country:US
Practice Address - Phone:480-597-4344
Practice Address - Fax:602-497-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty