PALM COAST CHIROPRACTIC CENTER, JTA INC
NPI 1679673396
Chiropractor in Bunnell, FL

Active since September 23, 2006
4721 E MOODY BLVD, SUITE 101, BUNNELL, FL 32110(386) 437-7111(386) 437-7790 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palm Coast Chiropractic Center, Jta Inc NPPES

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

PALM COAST CHIROPRACTIC CENTER, JTA INC (NPI 1679673396) is a healthcare organization registered as a chiropractor in Bunnell, Florida and active in the NPI registry since September 2006. The organization lists Jennifer L Thornton, President, as its authorized official.

NPPES Registry Identity

NPI1679673396
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePALM COAST CHIROPRACTIC CENTER, JTA INC
Location Address4721 E MOODY BLVD, SUITE 101Bunnell, FL 32110-7706
Mailing Address4721 E Moody Blvd, Suite 101Bunnell, FL 32110-7706 · (386) 437-7111 · Fax (386) 437-7790
Fax(386) 437-7790
Organization SubpartNo
Authorized OfficialJennifer L ThorntonPresident · (386) 437-7111
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJune 6, 2014
NPI 1679673396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH8483
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.

4721 E MOODY BLVD, Bunnell, FL 32110

Other Identifiers 1

Medicare UPINV08423FL

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 4

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

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4721 E MOODY BLVD, BLDG 1 SUITE 103
BUNNELL, FL 32110
Nurse Practitioner (Family)
4721 E MOODY BLVD, SUITE 204
BUNNELL, FL 32110
Respiratory Therapist, Registered
4721 E MOODY BLVD, BLDG 1 STE 103
BUNNELL, FL 32110
Clinic/Center (Rehabilitation, Substance Use Disorder)
4721 E MOODY BLVD, STE 107
BUNNELL, FL 32110

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 Palm Coast Chiropractic Center, Jta Inc's NPI number?

The NPI number for Palm Coast Chiropractic Center, Jta Inc is 1679673396. It was assigned to this organization in the NPPES registry on September 23, 2006.

Where is Palm Coast Chiropractic Center, Jta Inc located?

Palm Coast Chiropractic Center, Jta Inc is located at 4721 E Moody Blvd Suite 101, Bunnell, FL 32110. The listed phone number is (386) 437-7111.

What is Palm Coast Chiropractic Center, Jta Inc'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 Palm Coast Chiropractic Center, Jta Inc was last updated on June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.