Individual provider · Type 1 NPI
Theresa Kathleen Gormly, CH
Chiropractor · Los Angeles, CA
NPI number
1265654149
Active
Practice location
1157 S Robertson Blvd
Los Angeles, CA 90035-1403
Fax (313) 858-1630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC15936 (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 1265654149
Theresa Kathleen Gormly, CH's National Provider Identifier is 1265654149, issued on May 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 4, 2007.