Individual provider · Type 1 NPI

Ricky Desi Bautista, DC

Chiropractor · Kaneohe, HI

NPI number 1962696658 Active

Practice location

45-270 William Henry Rd, Ste 205
Kaneohe, HI 96744-5808

Fax (808) 236-0844

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC420 (HI)

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 1962696658

Ricky Desi Bautista, DC's National Provider Identifier is 1962696658, issued on Sep 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kaneohe, HI. The record was last updated on Feb 21, 2017.