Provider Demographics
NPI:1306932355
Name:TORTORIELLO, KAREN LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LOUISE
Last Name:TORTORIELLO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 S 3RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5306
Mailing Address - Country:US
Mailing Address - Phone:256-543-3033
Mailing Address - Fax:256-543-3373
Practice Address - Street 1:525 S 3RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5306
Practice Address - Country:US
Practice Address - Phone:256-543-3033
Practice Address - Fax:256-543-3373
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU90584Medicare UPIN