Doctor Name: | THERESA L HARRIS |
NPI Number: | 1467643080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | CHIR008216 |
Business Practice Address: | 1009 Sw 17th Street Ocala, FL - 344711229 |
Business Phone Number: | 3523513413 |
Business Fax Number: | 3526296667 |
Mailing Address: | 1009 Sw 17th Street, OCALA |
State: | FL |
Postal Code: | 344711229 |
Phone Number: | 3523513413 |
Fax Number: | 3526296667 |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR008216 |
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. |