Doctor Name: | DR. THERESA BROWN CRANDALL |
NPI Number: | 1356677223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | CHIRO08571 |
Business Practice Address: | 13910 Fivay Rd Ste. 10 Hudson, FL - 346677154 |
Business Phone Number: | 7278623509 |
Business Fax Number: | 7278623500 |
Mailing Address: | 13910 Fivay Rd, Ste. 10 HUDSON |
State: | FL |
Postal Code: | 346677154 |
Phone Number: | 7278623509 |
Fax Number: | 7278623500 |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIRO08571 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |