Provider Demographics
NPI:1568700771
Name:LEDBETTER, JOSHUA KELLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:KELLEY
Last Name:LEDBETTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20444 NEEDLETREE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3487
Mailing Address - Country:US
Mailing Address - Phone:404-396-9008
Mailing Address - Fax:
Practice Address - Street 1:5808 BOYETTE RD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4122
Practice Address - Country:US
Practice Address - Phone:813-907-9553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor