| Pure Motion Chiropractic And Sports Recovery | |
|
301 Airport Rd, Suite G, Greenville, SC 29607-2610 | |
| (864) 908-7873 | |
| (864) 343-8348 |
| Full Name | Pure Motion Chiropractic And Sports Recovery |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 301 Airport Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518380054 | NPI | - | NPPES |
| 1619284908 | Other | SC | NPI (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3729 (South Carolina) | Primary |
| Provider Name | Jenna L Titcombe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619284908 PECOS PAC ID: 6103012364 Enrollment ID: I20150409001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Motion Chiropractic And Sports Recovery 301 Airport Rd, Suite G, Greenville, SC 29607-2610 Ph: (864) 908-7873 | Pure Motion Chiropractic And Sports Recovery 301 Airport Rd, Suite G, Greenville, SC 29607-2610 Ph: (864) 908-7873 |
Dr. Thaddeus Modlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 S Pleasantburg Dr Ste 60, Greenville, SC 29607 Phone: 864-605-7350 Fax: 864-605-7351 | |
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