Individual provider · Type 1 NPI
Kelly Tolle, DC
Chiropractor · Lake Mary, FL
NPI number
1699050369
Active
Practice location
1130 Townpark Ave, Suite 1116
Lake Mary, FL 32746-4787
Mailing address
1601 Cherry Lake Way
Lake Mary, FL 32746-1962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH10438 (FL) |
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.
Another provider at this address
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About NPI 1699050369
Kelly Tolle, DC's National Provider Identifier is 1699050369, issued on Oct 13, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Mary, FL. The record was last updated on Oct 13, 2011.