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Nicolle Marie Rivera Reyes, DC
Chiropractor in Leesville, Louisiana
NPI 1679288393

Nicolle Marie Rivera Reyes is a Chiropractor based in Leesville, LA. Nicolle Marie Rivera Reyes practices in Leesville, LA and has the professional credentials of DC. The NPI Number for Nicolle Marie Rivera Reyes is 1679288393 and holds a License No. 1973 (Louisiana).

The current practice location address for Nicolle Marie Rivera Reyes is 1603 Boone St Ste C, Leesville, LA and can be reached out via phone at 337-377-0477 and via fax at 337-404-1207.

Location: 1603 Boone St Ste C, Leesville, LA, 71446-5780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679288393
Provider Name
Nicolle Marie Rivera Reyes
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1603 Boone St Ste C, Leesville, LA, 71446-5780
Phone Number
337-377-0477
Fax Number
337-404-1207
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1973 01 LA CHIROPRACTOR
institution
Provider Business Practice Location Address Details
Address
1603 Boone St Ste C
City
Leesville
State
Louisiana
Zip
71446-5780
Phone Number
337-377-0477
Fax Number
337-404-1207
person
Provider Business Mailing Address Details
Address
1603 Boone St Ste C
City
Leesville
State
Louisiana
Zip
71446-5780
Phone Number
337-377-0477
Fax Number
337-404-1207
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1973 (Louisiana)
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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