Doctor Name: | TONI GROSSENHEIDER |
NPI Number: | 1700826450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 006587 |
Business Practice Address: | 9070 58th Dr E S.r. 70 Ste 103 Bradenton, FL - 342026110 |
Business Phone Number: | 9417565555 |
Business Fax Number: | 9417565556 |
Mailing Address: | 9070 58th Dr E, S.r. 70 Ste 103 BRADENTON |
State: | FL |
Postal Code: | 342026110 |
Phone Number: | 9417565555 |
Fax Number: | 9417565556 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 006587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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. |