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ARIZONA SPORTS CLINIC LLC
NPI 1114385457
Chiropractor in Mesa, AZ

Active since February 01, 2016
5735 E MCKELLIPS RD, SUITE B-106, MESA, AZ 85215(602) 668-8109 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arizona Sports Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA SPORTS CLINIC LLC (NPI 1114385457) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since February 2016. The organization lists Tyson Wade Marostica, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1114385457
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameARIZONA SPORTS CLINIC LLC
Location Address5735 E MCKELLIPS RD, SUITE B-106Mesa, AZ 85215-2875
Mailing Address5735 E Mckellips Rd, Suite B-106Mesa, AZ 85215-2875 · (602) 668-8109
Phone(602) 668-8109
Organization SubpartNo
Authorized OfficialTyson Wade MarosticaChiropractor · (610) 906-6164
Enumeration DateFebruary 1, 2016
Last NPPES UpdateAugust 1, 2016
✔ NPI 1114385457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5735 E MCKELLIPS RD, Mesa, AZ 85215
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYSON MAROSTICA DC
Chiropractor
5735 E MCKELLIPS RD, STE B-106
MESA, AZ 85215
Maricopa County (610) 906-6164
CIGNA HEALTHCARE OF ARIZONA, INC.
Clinic/Center (Multi-Specialty)
5735 E MCKELLIPS RD, SUITE 101
MESA, AZ 85215
Maricopa County (480) 718-6444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Sports Clinic LLC's NPI number?

The NPI number for Arizona Sports Clinic LLC is 1114385457. It was assigned to this organization in the NPPES registry on February 1, 2016.

Where is Arizona Sports Clinic LLC located?

Arizona Sports Clinic LLC is located at 5735 E Mckellips Rd Suite B-106, Mesa, AZ 85215. The listed phone number is (602) 668-8109.

What is Arizona Sports Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Arizona Sports Clinic LLC was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.