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DR. TERESA KRISTINE CARDWELL DC
Nutrition >> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1063699320
Individual Registrant:DR. TERESA KRISTINE CARDWELL DC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
428 POINCIANA ISLAND DR SUNNY ISLES BEACH, FL 33160-4533 US
Tel: 305-947-1515 Fax: 305-947-0015
Tel: 305-947-1515 Fax: 305-947-0015
Contact information for business:
428 POINCIANA ISLAND DR SUNNY ISLES BEACH, FL 33160-4533 US
Tel: 305-947-1515 Fax: 305-947-0015
Tel: 305-947-1515 Fax: 305-947-0015
Registration Information:
NPI: 1063699320
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111NN1001X | Chiropractic Providers Chiropractor Nutrition | FL | CH5940 |
| N | 111NN1001X | Chiropractic Providers Chiropractor | LA | 857 |
| N | 111NN1001X | Chiropractic Providers Chiropractor | AL | 1258 |
| N | 111NN1001X | Chiropractic Providers Chiropractor | TX | 5142 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
