Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARANDA NICOLE WYATT, D.C.
ActiveDR. MARANDA NICOLE WYATT, D.C. is a Chiropractor healthcare provider located in BLOOMINGTON, Illinois. NPI 1073752689 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1073752689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2009 (17.538639987092 yrs)
- Last Updated
- Feb 5, 2009
- License
-
038.011334 (IL)
Practice Information
- Address
-
2202 EASTLAND DRSUITE BBLOOMINGTON, IL, 617043585Browse IL providers · Browse ZIP 61704
- Phone
- 3093030716
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY J. BLY | D.C. | 1841299815 |
| DR. ROBERT D BROWN | DC | 1881694859 |
| LESLIE R QUIRAM | DC | 1467428409 |
| SUSAN LADON MITCHELL | DC | 1740220706 |
| DR. PHILIP L. BOLTON | D.C. | 1336179225 |
| MR. MICHAEL ROBERT PEFFER | DC | 1841216736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.