Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Koteuaisa Tanswanie Wilson, CH

Individual provider Chiropractor · NPI 1295035558

Koteuaisa Tanswanie Wilson, CH is a Chiropractor in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
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Practice location Address checks out

202 Lake Miriam Dr Ste W3
Lakeland, FL 33813-2179
Phone: (863) 647-0808
Fax: (863) 250-0715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH10077 (FL)

Record details

NPI number1295035558
Entity typeIndividual (Type 1)
GenderFemale
Credentials CH
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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