Maranda Nicole Wyatt, D.C.
Chiropractor · Bloomington, IL
Practice location
2202 Eastland DrSuite B
Bloomington, IL 61704-3585
- Phone
- (309) 303-0716
NPI record
- NPI
- 1073752689
- Entity type
- Individual (Type 1)
- Enumeration date
- February 5, 2009
- Last updated
- February 5, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
038.011334 | IL |
Mailing address
1821 County Road 2100 NWashburn, IL 61570-9324
- Phone
- (309) 303-0716
About Dr. Wyatt
Maranda Nicole Wyatt, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2202 Eastland Dr, Suite B, Bloomington, IL 61704-3585. The NPI number 1073752689 was assigned on February 5, 2009 and the record was last updated on February 5, 2009.
Dr. Wyatt lists a license in the registry: #038.011334 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Maranda Nicole Wyatt, D.C.?
The NPI number is 1073752689.
What is the phone number of Dr. Wyatt?
The phone number listed for the practice location is (309) 303-0716.
Where is Dr. Wyatt located?
2202 Eastland Dr, Suite B, Bloomington, IL 61704-3585.
What is the taxonomy code for Dr. Wyatt?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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