| Name: | Total Rehab Chiropractic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Oct 2002 (22 years ago) |
| Entity Number: | 000-685-483 |
| Register Number: | 000685483 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | AUBURN, AL |
| Registered Office Street Address: | 2515 E GLENN AVE STE 104AUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
CHIROPRACTIC CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770774846 | 2007-08-05 | 2007-08-05 | 2515 E GLENN AVE, SUITE 104, AUBURN, AL, 368306453, US | 2515 E GLENN AVE, SUITE 104, AUBURN, AL, 368306453, US | |||||||||||||||||||||||||
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| Phone | +1 334-821-2256 |
| Fax | 3348268082 |
Authorized person
| Name | JOHN H MANN III |
| Role | CHIROPRACTOR |
| Phone | 3348212256 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1107 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS BLUESHIELD |
| Number | 51516578 |
| State | AL |
| Name | Role |
|---|---|
| MANN, JOHN H | Agent |
| Name | Role | Address |
|---|---|---|
| MANN, JOHN H III | Member | 2515 EAST GLENN AVENUE SUITE 104AUBURN, AL 36830 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
