CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC
NPI 1134565302
Chiropractor in Medford, OR

Active since May 15, 2013
1910 E BARNETT RD, STE #103, MEDFORD, OR 97504(541) 245-9544(541) 245-9574 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Chiropractic & Wellness Clinic Llc NPPES

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

CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC (NPI 1134565302) is a healthcare organization registered as a chiropractor in Medford, Oregon and active in the NPI registry since May 2013. The organization lists Joshua David Fine, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1134565302
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC
Location Address1910 E BARNETT RD, STE #103Medford, OR 97504-8672
Mailing Address1910 E Barnett Rd, Ste #103Medford, OR 97504-8672 · (541) 245-9544 · Fax (541) 245-9574
Fax(541) 245-9574
Organization SubpartNo
Authorized OfficialJoshua David FineOwner/operator · (541) 245-9544
Enumeration DateMay 15, 2013
NPI 1134565302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 4067
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.
1910 E BARNETT RD, Medford, OR 97504

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
1910 E BARNETT RD, SUITE 103
MEDFORD, OR 97504
Specialist
1910 E BARNETT RD, SUITE 102
MEDFORD, OR 97504
Physical Therapist
1910 E BARNETT RD, SUITE 103
MEDFORD, OR 97504
Chiropractor
1910 E BARNETT RD, SUITE #103
MEDFORD, OR 97504
Specialist
1910 E BARNETT RD, SUITE 102
MEDFORD, OR 97504
Specialist
1910 E BARNETT RD, STE. 103
MEDFORD, OR 97504

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 Custom Chiropractic & Wellness Clinic LLC's NPI number?

The NPI number for Custom Chiropractic & Wellness Clinic LLC is 1134565302. It was assigned to this organization in the NPPES registry on May 15, 2013.

Where is Custom Chiropractic & Wellness Clinic LLC located?

Custom Chiropractic & Wellness Clinic LLC is located at 1910 E Barnett Rd Ste #103, Medford, OR 97504. The listed phone number is (541) 245-9544.

What is Custom Chiropractic & Wellness 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 Custom Chiropractic & Wellness Clinic LLC was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.