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Tasha Marie Fuller, DC
Chiropractor in Waterloo, New York
NPI 1619448370

Tasha Marie Fuller is a Chiropractor based in Waterloo, NY. Tasha Marie Fuller practices in Waterloo, NY and has the professional credentials of DC. The NPI Number for Tasha Marie Fuller is 1619448370 and holds a License No. 013201 (New York).

The current practice location address for Tasha Marie Fuller is 47 Virginia St, Waterloo, NY and can be reached out via phone at 315-664-2216. You can also correspond with Tasha Marie Fuller through the mailing address at 15 E ELISHA ST, WATERLOO, NY - 13165-1402 (mailing address contact number: 315-664-2216).

Location: 47 Virginia St, Waterloo, NY, 13165-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619448370
Provider Name
Tasha Marie Fuller
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
47 Virginia St, Waterloo, NY, 13165-1402
Phone Number
315-664-2216
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
47 Virginia St
City
Waterloo
State
New York
Zip
13165-1444
Phone Number
315-664-2216
Fax Number
person
Provider Business Mailing Address Details
Address
47 Virginia St
City
Waterloo
State
New York
Zip
13165-1444
Phone Number
315-664-2216
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
013201 (New York)
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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