| Ideal Performance Incorporated | |
|
1544 Upper Kingston Rd, Prattville, AL 36067-6859 | |
| (334) 322-9862 | |
| Not Available |
| Full Name | Ideal Performance Incorporated |
|---|---|
| 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 |
|---|---|---|---|
| 1689933269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Rana Watson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790932036 PECOS PAC ID: 8527123009 Enrollment ID: I20090217000365 |
| Mailing Address | Practice Location Address |
|---|---|
| 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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