ULTIMATE PERFORMANCE SPORTS AND REHAB LLC
NPI 1902163157
Chiropractor in Lake Charles, LA

Active since April 12, 2012
313 ALAMO ST, SUITE B, LAKE CHARLES, LA 70601(337) 523-0776 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ultimate Performance Sports And Rehab Llc NPPES

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

ULTIMATE PERFORMANCE SPORTS AND REHAB LLC (NPI 1902163157) is a healthcare organization registered as a chiropractor in Lake Charles, Louisiana and active in the NPI registry since April 2012. The organization lists Jeremy Ross Ward, Owner, as its authorized official.

NPPES Registry Identity

NPI1902163157
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameULTIMATE PERFORMANCE SPORTS AND REHAB LLC
Location Address313 ALAMO ST, SUITE BLake Charles, LA 70601-8528
Mailing AddressPo Box 4610Lake Charles, LA 70606-4610 · (337) 312-1446 · Fax (337) 312-1490
Organization SubpartNo
Authorized OfficialJeremy Ross WardOwner · (337) 523-0776
Enumeration DateApril 12, 2012
Last NPPES UpdateSeptember 13, 2012
NPI 1902163157 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.

313 ALAMO ST, Lake Charles, LA 70601

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

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

Family Medicine
313 ALAMO ST, SUITE B
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902163157, enumerated as an "organization" on April 12, 2012.

The provider is located at 313 ALAMO ST SUITE B LAKE CHARLES, LA 70601 and the phone number is (337) 523-0776.

Chiropractor with taxonomy code 111N00000X.