Individual provider · Type 1 NPI

Tasha Marie Fuller, DC

Chiropractor · Waterloo, NY

NPI number 1619448370 Active

Practice location

47 Virginia St
Waterloo, NY 13165-1444

Mailing address

15 E Elisha St
Waterloo, NY 13165-1402

Other practice locations

  • 9-27 East Main Street, Suite 100, Waterloo, NY 13165 · (315) 664-2216

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X013201 (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 1619448370

Tasha Marie Fuller, DC's National Provider Identifier is 1619448370, issued on Dec 6, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Waterloo, NY. The record was last updated on Mar 18, 2020.