Provider Demographics
NPI:1366887119
Name:CAPPEL CHIROPRACTIC AND PERSONAL TRAINING LLC
Entity type:Organization
Organization Name:CAPPEL CHIROPRACTIC AND PERSONAL TRAINING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CIERA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-697-3527
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NE
Mailing Address - Zip Code:69022-0158
Mailing Address - Country:US
Mailing Address - Phone:308-697-3527
Mailing Address - Fax:
Practice Address - Street 1:307 NELSON ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69022-3592
Practice Address - Country:US
Practice Address - Phone:308-697-3527
Practice Address - Fax:308-697-3527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty