Individual provider · Type 1 NPI
Nathaniel Douglas Deitrick, DC, CSCS
Chiropractor · Canonsburg, PA
NPI number
1215842885
Active
Practice location
380 Southpointe Blvd Ste 105
Canonsburg, PA 15317-6516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC012173 (PA) |
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 1215842885
Nathaniel Douglas Deitrick, DC, CSCS's National Provider Identifier is 1215842885, issued on Aug 17, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Canonsburg, PA. The record was last updated on Aug 17, 2026.