Provider Demographics
NPI:1821855941
Name:CELLUCCI, DARRIEN J (DC)
Entity type:Individual
Prefix:
First Name:DARRIEN
Middle Name:J
Last Name:CELLUCCI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:DARRIEN
Other - Middle Name:J
Other - Last Name:TORSNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2515 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:216 E 50TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-3959
Practice Address - Country:US
Practice Address - Phone:563-391-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA124741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty