Individual provider · Type 1 NPI
Stacey Lyn Wirtanen, DC
Chiropractor · Houston, TX
NPI number
1326172289
Active
Practice location
1961 W T C Jester Blvd
Houston, TX 77008-1256
Fax (713) 868-1413
Mailing address
1606 Bayram Dr
Houston, TX 77055-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6607 (TX) |
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.
2 other providers at this address
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About NPI 1326172289
Stacey Lyn Wirtanen, DC's National Provider Identifier is 1326172289, issued on Mar 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.