Provider Demographics
NPI:1760351498
Name:FUCHS, KIRSTEN LEIGH (DC)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:LEIGH
Last Name:FUCHS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:RIO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:76093-3017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:609 SH 174 SUITE 2
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:TX
Practice Address - Zip Code:76093
Practice Address - Country:US
Practice Address - Phone:817-313-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor