Individual provider · Type 1 NPI

Jacob Henricksen

Chiropractor · Lutz, FL

NPI number 1194268771 Active

Practice location

250 Crystal Grove Blvd
Lutz, FL 33548-6460

Call (813) 776-1480 Map

Fax (813) 807-4774

Mailing address

3043 Boones Creek Rd Ste 107
Johnson City, TN 37615-4959

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH14963 (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 1194268771

Jacob Henricksen's National Provider Identifier is 1194268771, issued on Nov 30, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lutz, FL. The record was last updated on Jan 7, 2025.