Individual provider · Type 1 NPI

Shane Donald Whiteley, DC

Chiropractor · Port St. Lucie, FL

NPI number 1003849449 Active · reactivated May 7, 2013

Practice location

1400 SE Goldtree Dr, # 207
Port St. Lucie, FL 34952

Call (772) 777-2836 Map

Fax (772) 777-2837

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XDC26258 (CA)
Chiropractor Primary 111N00000XCH10830 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1003849449

Shane Donald Whiteley, DC's National Provider Identifier is 1003849449, issued on Jul 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 16, 2013.