Individual provider · Type 1 NPI
Jordan Elizabeth Dieterle, DC
Chiropractor · Sarasota, FL
NPI number
1386172864
Active
Practice location
3704 Webber St
Sarasota, FL 34232-4416
Fax (941) 315-9922
Mailing address
3443 Tamiami Trl Ste C
Port Charlotte, FL 33952-8159
Other practice locations
- 3443 Tamiami Trl Ste C, Port Charlotte, FL 33952-8159 · (941) 625-2667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH12104 (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 1386172864
Jordan Elizabeth Dieterle, DC's National Provider Identifier is 1386172864, issued on May 30, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sarasota, FL. The record was last updated on Jul 21, 2022.