KEVIN S & TINA S WATT NPI 1104059203

NPI Information

KEVIN S & TINA S WATT is a chiropractor in Lodi, CA. The provider is 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. KEVIN S & TINA S WATT NPI is 1104059203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1822 W KETTLEMAN LN
SUITE 5
LODI, CA
ZIP 95242-218
Phone: (209) 334-2366
Fax: (209) 334-2377

The provider's authorized official is Kevin S Watt .
The authorized official title is Owner and has the following contact phone number (209) 334-2366.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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