Individual provider · Type 1 NPI
Casey Wisniewski, DC
Chiropractor · Culver City, CA
NPI number
1235695552
Active
Practice location
5601 W Slauson Ave Ste 186
Culver City, CA 90230-6538
Mailing address
2365 Glendale Blvd Apt 17
Los Angeles, CA 90039-3261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 33807 (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.
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About NPI 1235695552
Casey Wisniewski, DC's National Provider Identifier is 1235695552, issued on Feb 11, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Culver City, CA. The record was last updated on Feb 11, 2019.