Provider Demographics
NPI:1801914924
Name:GIARDINA, KRISTIE ALICIA (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTIE
Middle Name:ALICIA
Last Name:GIARDINA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KRISTIE
Other - Middle Name:ALICIA
Other - Last Name:TRAMUTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1620 BELLE CHASSE HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7057
Mailing Address - Country:US
Mailing Address - Phone:504-636-6036
Mailing Address - Fax:504-613-0332
Practice Address - Street 1:1620 BELLE CHASSE HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-7057
Practice Address - Country:US
Practice Address - Phone:504-636-6036
Practice Address - Fax:504-613-0332
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor