Provider Demographics
NPI:1902437577
Name:A & M REGENERATIVE THERAPY PLLC
Entity Type:Organization
Organization Name:A & M REGENERATIVE THERAPY PLLC
Other - Org Name:A & M CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-572-0072
Mailing Address - Street 1:4012 SW GREEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4113
Mailing Address - Country:US
Mailing Address - Phone:817-572-0072
Mailing Address - Fax:817-478-2212
Practice Address - Street 1:4012 SW GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4113
Practice Address - Country:US
Practice Address - Phone:817-572-0072
Practice Address - Fax:817-478-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty