Provider Demographics
NPI:1609400191
Name:WATTS, DAKOTA (DC)
Entity Type:Individual
Prefix:
First Name:DAKOTA
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DAKOTA
Other - Middle Name:
Other - Last Name:ZITLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1014 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1671
Mailing Address - Country:US
Mailing Address - Phone:530-865-5930
Mailing Address - Fax:
Practice Address - Street 1:1014 SOUTH ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1671
Practice Address - Country:US
Practice Address - Phone:530-865-5930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor