Athletes Ultimate Performance Sports & Rehab,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11964 Issued in TX

Legal business name

ATHLETES ULTIMATE PERFORMANCE SPORTS & REHAB,LLC

Practice address

2350 Nall St
Port Neches, TX 77651-4204

Phone

(409) 722-1030

NPI assigned

Feb 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyle Anthony Daigle, D.C, B.S

Title

Co-Owner

Phone

(409) 722-1030

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1548533417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514204",
            "telephone_number": "409-722-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514204",
            "telephone_number": "409-722-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETES ULTIMATE PERFORMANCE SPORTS & REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "409-722-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C, B.S"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.