Individual provider · Type 1 NPI
Jillian Tara Sanda, DC
Chiropractor · Port St. Lucie, FL
NPI number
1730628009
Active
Practice location
1696 SE Hillmoor Dr Ste C
Port St. Lucie, FL 34952-7699
Fax (772) 335-3793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 38MC00742400 (NJ) |
| Chiropractor Primary | 111N00000X | CH13900 (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 1730628009
Jillian Tara Sanda, DC's National Provider Identifier is 1730628009, issued on Feb 19, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 4, 2025.