Provider Demographics
NPI:1952732281
Name:MUSSER, NATASHA KAE (DC)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:KAE
Last Name:MUSSER
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 1:1800 THE GREENS WAY APT 304
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-2434
Mailing Address - Country:US
Mailing Address - Phone:419-764-3170
Mailing Address - Fax:
Practice Address - Street 1:410 BLANDING BLVD STE 7
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5065
Practice Address - Country:US
Practice Address - Phone:904-592-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor