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SHANE LUETTGEN
NPI 1790245793
Chiropractor in Indialantic, FL

Active since March 25, 2019
106 10TH AVE, INDIALANTIC, FL 32903(321) 591-7248 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shane Luettgen NPPES

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

SHANE LUETTGEN (NPI 1790245793) is an individual chiropractor in Indialantic, Florida, licensed in Florida (CH12506) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1790245793
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHANE LUETTGEN
Location Address106 10TH AVEIndialantic, FL 32903-3208
Mailing Address106 10th AveIndialantic, FL 32903-3208 · (321) 591-7248
Phone(321) 591-7248
Sole ProprietorYes
Enumeration DateMarch 25, 2019
✔ NPI 1790245793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH12506
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.
106 10TH AVE, Indialantic, FL 32903
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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 Shane Luettgen's NPI number?

The NPI number for Shane Luettgen is 1790245793. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Shane Luettgen located?

Shane Luettgen practices at 106 10th Ave, Indialantic, FL 32903. The listed phone number is (321) 591-7248.

What is Shane Luettgen'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 Shane Luettgen was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.