Ideal Performance Incorporated | |
1544 Upper Kingston Rd, Prattville, AL 36067-6859 | |
(334) 322-9862 | |
Not Available |
Full Name | Ideal Performance Incorporated |
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Type | Facility |
Speciality | Chiropractor |
Location | 1544 Upper Kingston Rd, Prattville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689933269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Rana Watson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790932036 PECOS PAC ID: 8527123009 Enrollment ID: I20090217000365 |
Mailing Address | Practice Location Address |
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Ideal Performance Incorporated 1544 Upper Kingston Rd, Prattville, AL 36067-6859 Ph: (334) 322-9862 | Ideal Performance Incorporated 1544 Upper Kingston Rd, Prattville, AL 36067-6859 Ph: (334) 322-9862 |
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