Individual provider · Type 1 NPI
Ronald Jack Travis Utter, DC
Chiropractor · Deltona, FL
NPI number
1366719619
Active
Practice location
2922 Howland Blvd Ste 2
Deltona, FL 32725-2900
Fax (813) 409-2180
Mailing address
448 Brown Pelican Dr.
Daytona Beach, FL 32119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH 10487 (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.
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About NPI 1366719619
Ronald Jack Travis Utter, DC's National Provider Identifier is 1366719619, issued on Nov 30, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Deltona, FL. The record was last updated on Dec 15, 2020.