Healthcare Provider Details

I. General information

NPI: 1841435724
Provider Name (Legal Business Name): JOSHUA D PICKETT DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2008
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 ALPINE DR
NAVARRE FL
32566-7695
US

IV. Provider business mailing address

1816 ALPINE DR
NAVARRE FL
32566-7695
US

V. Phone/Fax

Practice location:
  • Phone: 850-939-3339
  • Fax: 850-939-1605
Mailing address:
  • Phone: 850-939-3339
  • Fax: 850-939-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA PICKETT
Title or Position: OWNER
Credential: D.C.
Phone: 850-939-3339