Individual provider · Type 1 NPI
Kathryn Rae Bastable, DC
Chiropractor · Berkeley, CA
NPI number
1093583973
Active · reactivated Oct 21, 2024
Practice location
2006 Kala Bagai Way
Berkeley, CA 94704-1872
Mailing address
PO Box 55880
Hayward, CA 94545-0880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 36736 (CA) |
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 1093583973
Kathryn Rae Bastable, DC's National Provider Identifier is 1093583973, issued on Dec 19, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Berkeley, CA. The record was last updated on Dec 17, 2024.