Individual provider · Type 1 NPI
Steven Landis Tlicen, DC
Chiropractor · Santa Rosa, CA
NPI number
1356656615
Active
Practice location
2801 Yulupa Ave Ste B
Santa Rosa, CA 95405-9115
Fax (707) 542-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 12559 (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 1356656615
Steven Landis Tlicen, DC's National Provider Identifier is 1356656615, issued on Aug 11, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 11, 2010.