Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH7717 | FL |
N | 111N00000X | Chiropractor | CHIR006060 | GA |
N | 111NN1001X | Nutrition | CH7717 | FL |
NPI | 1275761058 |
---|---|
Provider Name | Ms. Linda Rietveld |
First Address | Roswell, GA 30075-5609 |
Second Address | Roswell, GA 30075-5609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 24/06/2016 |