Individual provider · Type 1 NPI
Jessica Raechelle Judge, DC, BS
Chiropractor · Justin, TX
NPI number
1619169448
Active
Practice location
112 W. 4th St
Justin, TX 76247
Mailing address
PO Box 77033
Fort Worth, TX 76177-0033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 10289 (TX) |
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 1619169448
Jessica Raechelle Judge, DC, BS's National Provider Identifier is 1619169448, issued on Aug 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Justin, TX. The record was last updated on Sep 29, 2010.