Individual provider · Type 1 NPI
John R. Istad, DC
Chiropractor · Port St. Lucie, FL
NPI number
1124160353
Active
Practice location
1105 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5332
Fax (772) 398-6600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH6232 (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 1124160353
John R. Istad, DC's National Provider Identifier is 1124160353, issued on Feb 13, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Aug 20, 2010.