Provider Demographics
NPI:1801781422
Name:COLLECTIVE CHIROPRACTIC & PERFORMANCE, A REICHLE PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:COLLECTIVE CHIROPRACTIC & PERFORMANCE, A REICHLE PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-257-7873
Mailing Address - Street 1:261 IMPERIAL HWY STE 570
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1099
Mailing Address - Country:US
Mailing Address - Phone:909-257-7873
Mailing Address - Fax:
Practice Address - Street 1:261 IMPERIAL HWY STE 570
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1099
Practice Address - Country:US
Practice Address - Phone:909-257-7873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty