Individual provider · Type 1 NPI

Shane K. Wisehart, DC

Chiropractor · Los Alamos, NM

NPI number 1649385980 Active

Practice location

35 Bonnie View Dr, Ste 3
Los Alamos, NM 87547-3737

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1186 (NM)
Chiropractor 111N00000X5885 (TX)
Chiropractor 111N00000X2943171202 (UT)

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 1649385980

Shane K. Wisehart, DC's National Provider Identifier is 1649385980, issued on Aug 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Alamos, NM. The record was last updated on Feb 8, 2017.