| Active Body Chiro Rehab | |
|
733 Roosevelt Trl Ste 1, Windham, ME 04062-5286 | |
| (207) 346-7412 | |
| Not Available |
| Full Name | Active Body Chiro Rehab |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 733 Roosevelt Trl Ste 1, Windham, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831883099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | John K Pottle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366171530 PECOS PAC ID: 6507226511 Enrollment ID: I20230721000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Body Chiro Rehab 733 Roosevelt Trl Ste 1, Windham, ME 04062-5286 Ph: (207) 346-7412 | Active Body Chiro Rehab 733 Roosevelt Trl Ste 1, Windham, ME 04062-5286 Ph: (207) 346-7412 |
Dr. Roy A Moore, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 936 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-8356 Fax: 207-892-1644 | |
Roy Alan Moore Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 936 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-8356 Fax: 207-892-1644 | |
Mjw Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 585 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-9001 Fax: 207-892-3228 | |
Mark J Wasowski, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-9001 | |
Family Wellness Chiropractic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8 Morgan Ln, Windham, ME 04062 Phone: 716-397-8999 |