Individual provider · Type 1 NPI

Kaitlin Fogarty

Chiropractor · Ponte Vedra, FL

NPI number 1801681242 Active

Practice location

4220 Valley Ridge Blvd Ste 106
Ponte Vedra, FL 32081-5173

Mailing address

6385 Mcginnis Ferry Rd Ste 201
Johns Creek, GA 30005-3672

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCHIR011389 (GA)
Chiropractor Primary 111N00000XCH15513 (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 1801681242

Kaitlin Fogarty's National Provider Identifier is 1801681242, issued on Apr 14, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Sep 2, 2026.