KEVIN S & TINA S WATT
NPI 1104059203
Chiropractor in Lodi, CA

Q: What is Kevin S & Tina S Watt's NPI number?

The NPI number for Kevin S & Tina S Watt is 1104059203. It was assigned to this organization in the NPPES registry on August 24, 2009.

Q: What is Kevin S & Tina S Watt's specialty?

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

Active since August 24, 2009

1822 W KETTLEMAN LN, SUITE 5, LODI, CA 95242(209) 334-2366(209) 334-2377 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin S & Tina S Watt NPPES

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

KEVIN S & TINA S WATT (NPI 1104059203) is a healthcare organization registered as a chiropractor in Lodi, California and active in the NPI registry since August 2009. The organization lists Kevin S Watt, Owner, as its authorized official.

NPPES Registry Identity

NPI1104059203

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKEVIN S & TINA S WATT

Location Address1822 W KETTLEMAN LN, SUITE 5Lodi, CA 95242-4218

Mailing Address1822 W Kettleman Ln, Suite 5Lodi, CA 95242-4218 · (209) 334-2366 · Fax (209) 334-2377

Phone(209) 334-2366

Fax(209) 334-2377

Organization SubpartNo

Authorized OfficialKevin S WattOwner · (209) 334-2366

Enumeration DateAugust 24, 2009

Last NPPES UpdateOctober 30, 2009

✔ NPI 1104059203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC0240270

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.

1822 W KETTLEMAN LN, Lodi, CA 95242

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Other Identifiers 2

Medicare PINDC0240270CA

Medicare UPINU62788

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ERIC SCOTT SORENSEN P.T.

Physical Therapist

1822 W KETTLEMAN LN, STE 1
LODI, CA 95242

San Joaquin County (209) 368-1678

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 Kevin S & Tina S Watt's NPI number?

The NPI number for Kevin S & Tina S Watt is 1104059203. It was assigned to this organization in the NPPES registry on August 24, 2009.

Where is Kevin S & Tina S Watt located?

Kevin S & Tina S Watt is located at 1822 W Kettleman Ln Suite 5, Lodi, CA 95242. The listed phone number is (209) 334-2366.

What is Kevin S & Tina S Watt'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 Kevin S & Tina S Watt was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.