Organization · Type 2 NPI
Shasta Lake Chiropractic
Chiropractor · Shasta Lake, CA
NPI number
1235152364
Active
Practice location
4221 Shasta Dam Blvd
Shasta Lake, CA 96019-9423
Fax (530) 275-8662
Mailing address
PO Box 776
Shasta Lake, CA 96019-0776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 16454 (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.
3 other providers at this address
Other chiropractor providers in Shasta Lake
About NPI 1235152364
Shasta Lake Chiropractic's National Provider Identifier is 1235152364, issued on Jul 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shasta Lake, CA. The record was last updated on Oct 11, 2007.