Individual
TATIANA CASTILLO SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Mailing address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003254A
IN
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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