Doctor Name: | DR. TRISHA MARIE WIMBS |
NPI Number: | 1457655409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 31771 |
Business Practice Address: | 755 Sunrise Ave Suite 115 Roseville, CA - 956614500 |
Business Phone Number: | 9167866055 |
Business Fax Number: | 9167866452 |
Mailing Address: | 755 Sunrise Ave, Suite 115 ROSEVILLE |
State: | CA |
Postal Code: | 956614500 |
Phone Number: | 9167866055 |
Fax Number: | 9167866452 |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 31771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |