MEDICARE: DR. KAITLYN JOY TESTEN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC012094	PA

General Provider Information

NPI Number	:	1043173701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAITLYN JOY TESTEN DC

Provider Business Mailing Address
First Line	:	562 ATWOOD CT
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 W RIDGE PIKE
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-1223
Country	:	US
Telephone Number	:	267-536-2867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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