Provider Demographics
NPI:1174742993
Name:TOHTZ, KRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:
Last Name:TOHTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5078 SE ASKEW AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-1501
Mailing Address - Country:US
Mailing Address - Phone:312-898-6327
Mailing Address - Fax:
Practice Address - Street 1:5078 SE ASKEW AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-1501
Practice Address - Country:US
Practice Address - Phone:312-898-6327
Practice Address - Fax:312-756-1777
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009394111N00000X
IL038009394111N00000X
FLAP4423171100000X
IL198001274171100000X
FLCH14139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL038-009394OtherLICENSE