| Az Lifestyle Chiropractic Center, Pc | |
|
14155 N 83rd Ave Ste 102, Peoria, AZ 85381-5640 | |
| (623) 878-0475 | |
| (623) 878-0640 |
| Full Name | Az Lifestyle Chiropractic Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14155 N 83rd Ave Ste 102, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164951208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC5016 (Arizona) | Primary |
| 111NN1001X | Chiropractor - Nutrition | DC5016 (Arizona) | Secondary |
| Provider Name | Jodi L Judge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598878589 PECOS PAC ID: 5395761191 Enrollment ID: I20051020000901 |
| Provider Name | Matthew J Amundgaard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790863371 PECOS PAC ID: 0345343687 Enrollment ID: I20211101001612 |
| Provider Name | Lauren Ragazzo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205245859 PECOS PAC ID: 3274845110 Enrollment ID: I20230414000969 |
| Provider Name | Elena Marie Acquisto-treaster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821320441 PECOS PAC ID: 8123482205 Enrollment ID: I20230907002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Az Lifestyle Chiropractic Center, Pc 14155 N 83rd Ave Ste 102, Peoria, AZ 85381-5640 Ph: (623) 878-0475 | Az Lifestyle Chiropractic Center, Pc 14155 N 83rd Ave Ste 102, Peoria, AZ 85381-5640 Ph: (623) 878-0475 |
Dr. Cody Michael Ghents, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 24700 N 67th Ave, Peoria, AZ 85383 Phone: 623-259-3458 | |
Cactus Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7440 W Cactus Rd, A19, Peoria, AZ 85381 Phone: 623-878-9388 Fax: 623-878-9114 | |
Nicole Renee Maddox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15256 N 75th Ave Ste 360, Peoria, AZ 85381 Phone: 623-486-2424 Fax: 623-486-4324 | |
Lori Fininis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 602-247-8626 Fax: 602-247-8646 | |
Dr. Bradley Green Matson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7226 W Columbine Dr, Peoria, AZ 85381 Phone: 602-809-6781 Fax: 602-235-2035 | |
Dr. Stockton Butterfield, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6750 W Thunderbird Rd, Peoria, AZ 85381 Phone: 602-368-1333 | |
Pierce West Waychoff, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 15256 N 75th Ave Ste 360, Peoria, AZ 85381 Phone: 623-486-2424 |