Provider Demographics
NPI:1174795538
Name:ARIA CHIROREHAB CENTER INC
Entity type:Organization
Organization Name:ARIA CHIROREHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-300-9030
Mailing Address - Street 1:10240 W INDIAN SCHOOL RD STE 155
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5909
Mailing Address - Country:US
Mailing Address - Phone:602-300-9030
Mailing Address - Fax:
Practice Address - Street 1:10240 W. INDIAN SCHOOL # 155
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:602-300-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7438302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization