Kayla Graessle, DC | |
43 Tomahawk Trl, Denville, NJ 07834-1126 | |
(862) 432-3606 | |
Not Available |
Full Name | Kayla Graessle |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 43 Tomahawk Trl, Denville, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235863622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00793500 (New Jersey) | Primary |
Provider Name | Ignite Spine And Sports Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497311310 PECOS PAC ID: 5991032617 Enrollment ID: O20190802002452 |
Mailing Address | Practice Location Address |
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Kayla Graessle, DC 43 Tomahawk Trl, Denville, NJ 07834-1126 Ph: (862) 432-3606 | Kayla Graessle, DC 43 Tomahawk Trl, Denville, NJ 07834-1126 Ph: (862) 432-3606 |
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