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Dr. Shannon Michiyo Rudolph, DC
Chiropractor in Gainesville, Florida
NPI 1548313711

Shannon Michiyo Rudolph is a Chiropractor based in Gainesville, FL. Shannon Michiyo Rudolph practices in Gainesville, FL and has the professional credentials of DC. The NPI Number for Shannon Michiyo Rudolph is 1548313711 and holds a License No. CH9069 (Florida).

The current practice location address for Shannon Michiyo Rudolph is 4400 Nw 23Rd Ave, Gainesville, FL and can be reached out via phone at 352-371-4120 and via fax at 352-371-3378.

Location: 4400 Nw 23Rd Ave, Gainesville, FL, 32606-6632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548313711
Provider Name
Shannon Michiyo Rudolph
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
4400 Nw 23Rd Ave, Gainesville, FL, 32606-6632
Phone Number
352-371-4120
Fax Number
352-371-3378
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4400 Nw 23Rd Ave
City
Gainesville
State
Florida
Zip
32606-6580
Phone Number
352-371-4120
Fax Number
352-371-3378
person
Provider Business Mailing Address Details
Address
4400 Nw 23Rd Ave
City
Gainesville
State
Florida
Zip
32606-6580
Phone Number
352-371-4120
Fax Number
352-371-3378
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH9069 (Florida)
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.
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