Individual provider · Type 1 NPI
Leah Rae Gladden, DC
Chiropractor · Simi Valley, CA
NPI number
1407890833
Active
Practice location
990 Enchanted Way
Simi Valley, CA 93065-0915
Mailing address
1864 Stoneman St
Simi Valley, CA 93065-1123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 27915 (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 1407890833
Leah Rae Gladden, DC's National Provider Identifier is 1407890833, issued on Jun 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Simi Valley, CA. The record was last updated on Nov 22, 2010.