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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX005480-1 (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.