Provider Demographics
NPI:1518559707
Name:THIELE, KARLA ADRIANA (DC)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:ADRIANA
Last Name:THIELE
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 1:421 NORTHLAKE BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5413
Mailing Address - Country:US
Mailing Address - Phone:561-842-2273
Mailing Address - Fax:561-842-1362
Practice Address - Street 1:421 NORTHLAKE BLVD STE F
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5413
Practice Address - Country:US
Practice Address - Phone:561-842-2273
Practice Address - Fax:561-842-1362
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor