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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH10438 (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.

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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.