Koteuaisa Tanswanie Wilson is a Lakeland, Florida based female chiropractor who is specialized as General Chiropractor. Active license number of Koteuaisa Tanswanie Wilson as General Chiropractor is CH10077 in Florida. Koteuaisa Tanswanie Wilson is qualified as 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.
Complete Profile:
Koteuaisa Tanswanie Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
CH
Gender:
Female
Practice Address:
202 Lake Miriam Dr Ste W3, Lakeland, Florida, 33813-2179
Phone:
863-647-0808
Fax:
863-250-0715
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1295035558
NPI Enumeration Date:
02 Nov, 2010
NPI Last Update On:
05 Oct, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Koteuaisa Tanswanie Wilson are as mentioned below.
License Number
Specialization
State
Status
CH10077
Chiropractor
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Koteuaisa Tanswanie Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CH10077
Other
Florida
FL MEDICAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
202 Lake Miriam Dr Ste W3, Lakeland, Florida
Zip:
33813-2179
Phone Number:
863-647-0808
Fax Number:
863-250-0715
Patients can reach Koteuaisa Tanswanie Wilson at 202 Lake Miriam Dr Ste W3, Lakeland, Florida or can call to book an appointment on 863-647-0808. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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