Dynamic Sports Rehab

LBN: Shawn Lutz Dc Llc
Dynamic Sports Rehab is an health care organization with primary practice located at 296 Sw Columbia St Ste D1 , Bend OR 97702-1020. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Shawn Lutz Dc Llc can be contacted via phone (541) 600-2558, or through Lutz, Shawn Conrad via phone (458) 206-6123.

Contact Information

Primary practice address
296 Sw Columbia St Ste D1 Bend OR 97702-1020
Phone: (541) 600-2558
Fax: (541) 833-0562
Website:
Map and Directions
Authorized official contact:
Name: Lutz, Shawn Conrad Doctor of Chiropractic (DC)
Phone: (458) 206-6123

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 4064 Oregon

Profile Details

NPI number 1962902403
LBN Legal business name Shawn Lutz Dc Llc
DBA Doing business as Dynamic Sports Rehab
Authorized official Lutz, Shawn Conrad Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2018
Last updated Feb 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962902403 NPPES
Other 1093012999 NPI

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