Provider Demographics
NPI:1346951688
Name:ARISTUD ITHIER, GISELLE E (DC)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:E
Last Name:ARISTUD ITHIER
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 1:12221 E COLONIAL DR APT 4113
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4774
Mailing Address - Country:US
Mailing Address - Phone:787-691-7566
Mailing Address - Fax:
Practice Address - Street 1:12789 WATERFORD LAKES PKWY STE 8
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7103
Practice Address - Country:US
Practice Address - Phone:407-745-4152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor