Provider Demographics
NPI:1629228259
Name:BECHTOL-KENT, NIKKI LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LYNN
Last Name:BECHTOL-KENT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NIKKI
Other - Middle Name:LYNN
Other - Last Name:BECHTOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3845 BECK BLVD STE 807
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-1216
Mailing Address - Country:US
Mailing Address - Phone:239-352-8633
Mailing Address - Fax:239-241-2925
Practice Address - Street 1:3845 BECK BLVD STE 807
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-1216
Practice Address - Country:US
Practice Address - Phone:239-352-8633
Practice Address - Fax:239-241-2925
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor