Individual
DR. JEFFERY MICHAEL DEATHERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
36101 BOB HOPE DR STE A, RANCHO MIRAGE, CA 92270-2001
(760) 321-1315
(760) 321-1094
Mailing address
36101 BOB HOPE DR STE A, RANCHO MIRAGE, CA 92270-2001
(760) 321-1315
(760) 321-1094
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
16116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16116
CHIROPRACTIC LICENSE
TX
Enumeration date
09/09/2011
Last updated
03/04/2026
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