Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Structural Disorders of the Spine

Organization Chiropractor · NPI 1902853070

Structural Disorders of the Spine provides Chiropractor services in Harrisburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

21 N 4th St
Harrisburg, PA 17101
Phone: (717) 233-3476
Fax: (717) 796-2409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 009494 (PA)

Record details

NPI number1902853070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Fullmer — Owner · (717) 460-3422
NPI enumeratedMay 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address21 North 4th Street, Harrisburg, PA 17101

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