Individual provider · Type 1 NPI
Mary E. Balliett, DC
Chiropractor · Ithaca, NY
NPI number
1477625960
Active
Practice location
116 W Buffalo St
Ithaca, NY 14850-4132
Fax (607) 256-0641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X005480-1 (NY) |
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 1477625960
Mary E. Balliett, DC's National Provider Identifier is 1477625960, issued on Nov 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 9, 2007.