Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tri-State Sport and Spine, PLLC

Organization Chiropractor · NPI 1902200876

Tri-State Sport and Spine, PLLC is a Chiropractor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9331 Old Bustleton Ave Ste 101
Philadelphia, PA 19115-4204
Phone: (215) 251-8526
Fax: (215) 673-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC010688 (PA)

Record details

NPI number1902200876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dougherty — President · (215) 251-8526
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014
Mailing address110 Wharton St, Philadelphia, PA 19147-5425

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