Provider Demographics
NPI:1134630429
Name:SALZWEDEL, KRISTEN (ND)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:SALZWEDEL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 S LAVEEN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-4920
Mailing Address - Country:US
Mailing Address - Phone:602-565-7525
Mailing Address - Fax:480-210-8193
Practice Address - Street 1:4350 E RAY RD STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-4704
Practice Address - Country:US
Practice Address - Phone:602-565-7525
Practice Address - Fax:480-210-8193
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-13
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1644175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath