Dr. Jodi Reeves Polk
Chiropractic Sports Physician
1708 19th St
Santa Monica
, California 90404-4418
Dr. Jodi Reeves Polk
Chiropractic Sports Physician
1708 19th St
Santa Monica
, California 90404-4418
(310) 453-8684
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jodi Reeves Polk
- 1708 19th St
- Santa Monica, CA
- Zip : 90404-4418
- Phone : (310) 453-8684
Second Address
- Dr. Jodi Reeves Polk
- 1708 19th St
- Santa Monica, CA
- Zip : 90404-4418
- Phone : (310) 453-8684
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC17792 | CA |
National Provider Identifier
| NPI | 1265501167 |
|---|---|
| Provider Name | Dr. Jodi Reeves Polk |
| First Address | Santa Monica, CA 90404-4418 |
| Second Address | Santa Monica, CA 90404-4418 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.