Organization · Type 2 NPI

Kevin S & Tina S Watt

Chiropractor · Lodi, CA

NPI number 1104059203 Active

Practice location

1822 W Kettleman Ln, Suite 5
Lodi, CA 95242-4218

Call (209) 334-2366 Map

Fax (209) 334-2377

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC0240270 (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 1104059203

Kevin S & Tina S Watt's National Provider Identifier is 1104059203, issued on Aug 24, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lodi, CA. The record was last updated on Oct 30, 2009.