Individual provider · Type 1 NPI
Jared Wannenwetsch, DC
Chiropractor · Citra, FL
NPI number
1245686823
Active
Practice location
18155 NW 24th Ave
Citra, FL 32113-2167
Mailing address
3703 SW 13th St
Gainesville, FL 32608-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH11534 (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.
About NPI 1245686823
Jared Wannenwetsch, DC's National Provider Identifier is 1245686823, issued on May 12, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Citra, FL. The record was last updated on May 12, 2016.