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

Tasha Marie Fuller, DC

Individual provider Chiropractor · NPI 1619448370

Tasha Marie Fuller, DC is a Chiropractor in Waterloo, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

47 Virginia St
Waterloo, NY 13165-1444
Phone: (315) 664-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9-27 East Main Street, Waterloo, NY 13165 — (315) 664-2216

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 013201 (NY)

Record details

NPI number1619448370
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 6, 2018
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

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