Individual provider · Type 1 NPI
Penny Lea Teshak Fullarton, DC
Chiropractor · Bettendorf, IA
NPI number
1396203402
Active
Practice location
4535 Bunker Hill Dr
Bettendorf, IA 52722-1760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.012793 (IL) |
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 1396203402
Penny Lea Teshak Fullarton, DC's National Provider Identifier is 1396203402, issued on Mar 7, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bettendorf, IA. The record was last updated on Mar 7, 2019.