Provider Demographics
NPI:1487436416
Name:ART OF ANATOMY, LLC
Entity type:Organization
Organization Name:ART OF ANATOMY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CSAKAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-692-3460
Mailing Address - Street 1:210 E FLAMINGO RD UNIT 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-4797
Mailing Address - Country:US
Mailing Address - Phone:908-692-3460
Mailing Address - Fax:
Practice Address - Street 1:3645 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1057
Practice Address - Country:US
Practice Address - Phone:732-444-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty