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DR. MARANDA NICOLE WYATT D.C.
NPI 1073752689
Chiropractor in Bloomington, IL

Active since February 05, 2009
2202 EASTLAND DR, SUITE B, BLOOMINGTON, IL 61704(309) 303-0716 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maranda Nicole Wyatt D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARANDA NICOLE WYATT D.C. (NPI 1073752689) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038.011334) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1073752689
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARANDA NICOLE WYATTCredential: D.C.
Location Address2202 EASTLAND DR, SUITE BBloomington, IL 61704-3585
Mailing Address1821 County Road 2100 NWashburn, IL 61570-9324 · (309) 303-0716
Phone(309) 303-0716
Sole ProprietorNo
Enumeration DateFebruary 5, 2009
✔ NPI 1073752689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011334
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2202 EASTLAND DR, Bloomington, IL 61704
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY LIVING FAMILY CHIROPRACTIC, P.C.
Chiropractor
2202 EASTLAND DR, SUITE B
BLOOMINGTON, IL 61704
McLean County (309) 662-3600
DR. CHAD CHRISTIAN WYATT D.C.
Chiropractor
2202 EASTLAND DR, SUITE B
BLOOMINGTON, IL 61704
McLean County (870) 822-0218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maranda Wyatt's NPI number?

The NPI number for Maranda Wyatt is 1073752689. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Maranda Wyatt located?

Maranda Wyatt practices at 2202 Eastland Dr Suite B, Bloomington, IL 61704. The listed phone number is (309) 303-0716.

What is Maranda Wyatt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Maranda Wyatt was last updated on February 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.