Provider Demographics
NPI:1275262974
Name:FECHTNER, CHELSIE (DC)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:
Last Name:FECHTNER
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 1:13925 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5118
Mailing Address - Country:US
Mailing Address - Phone:361-549-3125
Mailing Address - Fax:361-767-3320
Practice Address - Street 1:1702 US HIGHWAY 181 STE A3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-3855
Practice Address - Country:US
Practice Address - Phone:361-977-2010
Practice Address - Fax:361-977-2012
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor