Individual provider · Type 1 NPI
Kendall Shannon Ereth, DC
Chiropractor · Peoria, AZ
NPI number
1780861534
Active
Practice location
8251 W Thunderbird Rd Ste 120
Peoria, AZ 85381-4602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4824 (AZ) |
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 1780861534
Kendall Shannon Ereth, DC's National Provider Identifier is 1780861534, issued on Jan 23, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, AZ. The record was last updated on Jan 23, 2008.