Individual provider · Type 1 NPI
Maranda Nicole Wyatt, DC
Chiropractor · Bloomington, IL
NPI number
1073752689
Active
Practice location
2202 Eastland Dr, Suite B
Bloomington, IL 61704-3585
Mailing address
1821 County Road 2100 N
Washburn, IL 61570-9324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.011334 (IL) |
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.
2 other providers at this address
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- Deborah Ann Yoos, DCChiropractor Bloomington, IL NPI 1245354588
- Brianna Shepler, DCChiropractor Bloomington, IL NPI 1275344038
- Amyas Ahmed Kabir, DCChiropractor Bloomington, IL NPI 1295874808
- William Joseph Rademacher, DCChiropractor Bloomington, IL NPI 1326125501
About NPI 1073752689
Maranda Nicole Wyatt, DC's National Provider Identifier is 1073752689, issued on Feb 5, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Feb 5, 2009.