Individual provider · Type 1 NPI

Jenessa Kalene Lutz, DC

Chiropractor · Peoria, IL

NPI number 1174794200 Active

Practice location

3105 N Prospect Rd
Peoria, IL 61603-1505

Call (309) 685-5224 Map

Fax (309) 685-7377

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038011261 (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.

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About NPI 1174794200

Jenessa Kalene Lutz, DC's National Provider Identifier is 1174794200, issued on Mar 17, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 7, 2013.