Individual provider · Type 1 NPI

Brad Alan Shallow, DC

Chiropractor · Deland, FL

NPI number 1447640768 Active

Practice location

120 S Woodland Blvd, Suite B
Deland, FL 32720-5445

Mailing address

918 Tall Pine Dr
Port Orange, FL 32127-4828

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH11338 (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 1447640768

Brad Alan Shallow, DC's National Provider Identifier is 1447640768, issued on Jan 24, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Deland, FL. The record was last updated on Jan 24, 2015.