Learn how chiropractic care can help reduce obesity, support your weight-loss journey, and improve physical well-being.
Hello, I’m Dr. Alex Jimenez. As a clinician working in integrative and functional medicine, I continually look for ways to translate current research into practical strategies that help patients move better, feel better, and maintain their independence.
One of the most important health challenges facing older adults is the intersection between aging and obesity.
Obesity affects much more than the number on a scale. In adults aged 60 and older, excess adipose tissue can combine with age-related muscle loss, joint degeneration, metabolic dysfunction, cardiovascular disease, poor sleep, reduced mobility, and chronic pain.
One of the most overlooked consequences is obesity’s effect on the musculoskeletal system.
Excess body weight increases mechanical loading across the:
At the same time, visceral adipose tissue contributes to chronic low-grade inflammation. For many older adults, this combination of mechanical overload and inflammatory stress can worsen joint stiffness, osteoarthritis symptoms, back pain, muscle fatigue, impaired mobility, and difficulty exercising.
This creates an important clinical cycle:
Excess body fat → increased joint stress and inflammation → pain → reduced physical activity → muscle loss → declining mobility → additional metabolic dysfunction
Age-related loss of muscle, known as sarcopenia, makes this cycle even more concerning. When increased body fat and reduced muscle mass occur together, the condition is called sarcopenic obesity.
This educational post explores how obesity interacts with aging, muscle loss, metabolic health, cardiovascular health, joint pain, mobility, sleep, nutrition, and physical function.
We will also examine how appropriately selected nonsurgical treatments, including chiropractic care, rehabilitation, therapeutic exercise, mobility training, resistance exercise, nutrition, and medical weight management, can work together.
Chiropractic care is not a direct treatment for obesity. Instead, in an integrative program, it addresses musculoskeletal problems that may prevent a patient from moving comfortably.
When pain and stiffness improve, some patients may be better able to:
The ultimate goal is not simply weight loss.
The goal is to help our aging patients move better, hurt less, preserve muscle, improve metabolic health, and maintain a higher quality of life.
Before discussing the science of obesity and aging, I want to explain the clinical philosophy that guides our practice at Injury Medical Clinic PA, also known as Mission Plaza Injury Medical Clinic, in El Paso, Texas.
My healthcare background combines chiropractic care, advanced practice nursing, family practice, functional medicine, and rehabilitation.
This has reinforced a basic principle:
Complex health problems are rarely solved by treating only one body system.
I work in collaboration with Dr. Maria Guadalupe Cardenas, MD, our Medical Director and Collaborative Physician.
Dr. Cardenas is a board-certified internist with more than 40 years of clinical experience.
Our roles are distinct but complementary.
Dr. Cardenas provides medical oversight for patients with conditions such as:
This becomes particularly important when considering pharmaceutical weight management or treating older adults with several comorbidities.
My chiropractic role focuses primarily on the neuromusculoskeletal system, including:
My APRN and functional medicine background allows me to connect those findings with broader issues such as:
This is especially useful in obesity because metabolic dysfunction and musculoskeletal dysfunction often occur together.
Rehabilitation becomes increasingly important with age.
Older adults with obesity may have a greater burden from:
An injury that might temporarily slow a younger person can create a major decline in mobility for an older adult.
The objective of integrative care is therefore not simply to reduce symptoms.
We want to restore the patient’s ability to function.
Aging naturally changes the body.
Understanding these changes helps us see why obesity may become harder to manage later in life.
One of the most important changes is a gradual decline in lean tissue.
This includes reductions in:
A person may weigh about the same at age 70 as at age 45 while having significantly less muscle and substantially more fat.
This is why body weight alone can be misleading.
Fat distribution also changes with age.
Instead of remaining primarily beneath the skin, more adipose tissue may accumulate around the abdomen and internal organs.
This is known as visceral adiposity.
Visceral fat is metabolically active and can contribute to:
It may also indirectly influence musculoskeletal health through inflammation and reduced physical activity.
Older adults may gradually lose height due to factors such as:
This matters because a reduced measured height can increase calculated BMI even when body weight remains unchanged.
Measured height, waist circumference, and body composition can therefore provide useful additional information.
Muscle consumes energy.
As muscle mass decreases, resting energy expenditure often decreases as well.
This means an older adult may require fewer calories than they did decades earlier.
If food intake remains unchanged while activity and muscle decline, fat accumulation becomes easier.
The musculoskeletal consequences of obesity deserve greater attention because they can directly determine whether a patient is capable of exercising.
Excess body mass places greater load across weight-bearing structures.
These include:
Joint forces during movement can be considerably greater than the person’s static body weight.
Repeated over thousands of steps, the accumulated mechanical load can become significant.
Obesity also creates a chronic inflammatory environment.
Visceral adipose tissue releases inflammatory signaling molecules that can affect:
Therefore, the relationship between obesity and musculoskeletal symptoms may involve both:
Mechanical overload + metabolic inflammation
Low-back pain can become a major barrier to activity.
Excess abdominal mass may alter the body’s center of gravity.
The muscles surrounding the lumbar spine and pelvis must compensate to maintain upright posture.
Patients may experience:
Pain then begins to change behavior.
A patient who expects walking to hurt may avoid walking.
Reduced activity leads to deconditioning.
Deconditioning can lead to more weakness, stiffness, and fatigue.
The knee is especially vulnerable because it is a major weight-bearing joint.
Activities such as:
place substantial forces across the knee.
Excess body mass can increase those forces.
At the same time, knee pain may cause patients to stop using their legs normally.
The muscles surrounding the knee become weaker.
Important supporting muscles include:
The cycle may become:
Knee pain → reduced walking → muscle weakness → reduced joint support → greater functional difficulty
The hips, ankles, and feet can also experience increased loading.
Pain in these areas may change gait.
For example, a patient may shift weight away from a painful foot.
That compensatory movement may then change the mechanics of the:
This is why a musculoskeletal examination should often look beyond the exact area where pain is reported.
One of the most important concepts in obesity care is understanding how pain can block weight-management efforts.
Consider an older adult with painful knee osteoarthritis.
Walking hurts.
The patient walks less.
Over the following months:
The body now has less muscular support while carrying the same or greater weight.
Pain becomes worse.
Activity decreases again.
This creates the cycle:
Pain → inactivity → muscle loss → reduced metabolic capacity → additional body fat → greater joint loading → more pain
Breaking this cycle is one of the most important goals of integrative care.
Chiropractic treatment should not be presented as a weight-loss treatment.
Its value lies elsewhere.
Many patients understand that exercise is important but cannot tolerate exercise because they have:
For appropriately selected patients, conservative chiropractic and rehabilitative care may help reduce certain musculoskeletal barriers.
Care may involve:
The specific treatment should depend on the patient’s:
I often view conservative musculoskeletal care as a bridge.
A patient may initially tolerate only five minutes of walking because of back or knee pain.
If appropriate treatment and rehabilitation improve mobility enough for that patient to tolerate 10 minutes, we have created an opportunity.
Ten minutes may later become:
The treatment pathway becomes:
Reduce the musculoskeletal barrier → restore movement → build strength → increase activity
That is the meaningful connection between chiropractic care and obesity management.
Passive treatments may help reduce symptoms, but long-term function comes from active movement.
The objective is not to make a patient dependent on treatment.
The objective is to help the patient become increasingly capable of:
Sarcopenia refers to progressive loss of skeletal muscle strength, mass, and function.
Sarcopenic obesity occurs when sarcopenia exists together with excess adiposity.
This combination can be particularly harmful.
Obesity may contribute to:
These factors can accelerate muscle decline.
Loss of skeletal muscle can result in:
This may make fat gain progressively easier.
Therefore, sarcopenic obesity involves a bidirectional relationship.
Muscle is more than a motor for movement.
Skeletal muscle also plays an important role in:
Loss of functional muscle can lead to difficulty:
This is why weight-loss programs in older adults should protect muscle whenever possible.
BMI remains useful as a screening tool, but it has limitations in older adults.
It cannot tell us whether body weight is coming from:
An individual may have a seemingly acceptable BMI but still have:
For this reason, waist circumference can be an important additional measure.
Measure function along with body composition.
Useful measures may include:
These measures show whether treatment is helping the patient become more capable.
SARC-F provides a simple screening method for sarcopenia.
It evaluates:
A concerning score should lead to further evaluation.
The chair-stand test is particularly practical.
It allows us to observe:
I also pay attention to movement quality.
Does the patient:
These observations can guide treatment.
Falls are one of the greatest threats to independence in older adults.
Obesity combined with sarcopenia may contribute to:
A fall can lead to:
Fall prevention should therefore be integrated into the treatment plan.
Resistance training is one of the most important tools for sarcopenic obesity.
Examples may include:
Resistance exercise stimulates muscle protein synthesis and helps improve strength.
The goal is not bodybuilding.
The goal is functional independence.
Aerobic activity supports:
Examples include:
Water exercise can be especially helpful for patients whose knees, hips, or back do not tolerate higher-impact activity.
Balance exercises can help patients improve stability.
Examples may include:
Adapt these exercises to the individual’s fall risk.
Reduced activity frequently leads to stiffness.
Mobility work may target areas such as the:
Improved mobility can make other exercises more comfortable.
Exercise cannot work optimally without adequate nutrition.
Older adults undergoing weight reduction have a difficult balancing act:
They need to reduce excess body fat while preserving muscle and bone.
Extreme calorie restriction may work against that goal.
Protein is particularly important.
The original clinical framework supports approximately:
1.0 to 1.5 grams of protein per kilogram of ideal body weight per day
Needs should be individualized according to:
Protein sources can include:
You can also spread protein intake across meals instead of concentrating almost all of it at dinner.
Bone preservation is also important during weight reduction.
Calcium and vitamin D support bone health.
Vitamin D is additionally involved in muscle function.
Low vitamin D may contribute to:
Supplementation should be individualized based on dietary intake, laboratory findings, and clinical needs.
Other nutrients involved in muscle and metabolic health include:
A food-first strategy is generally preferred, with supplementation considered when appropriate.
Very-low-energy diets can be problematic in older adults.
Potential risks include:
The goal is not to lose the most weight as quickly as possible.
The objective is to improve body composition safely.
Both Mediterranean- and DASH-style dietary patterns provide useful frameworks.
They emphasize:
These eating patterns can support metabolic and cardiovascular health while providing nutrient-dense foods.
Time-restricted eating limits food intake to a consistent daily window.
This may help align food intake more closely with circadian rhythms.
However, it should be individualized, particularly in older adults taking medications or those at risk for:
Sleep affects both metabolic and musculoskeletal health.
Poor sleep may contribute to:
Pain can also disrupt sleep.
This creates another reinforcing cycle:
pain → poor sleep → fatigue → inactivity → more stiffness and pain
Sleep problems deserve attention in a comprehensive treatment program.
Obstructive sleep apnea is common among people with obesity.
Potential consequences include:
Patients with symptoms suggesting sleep apnea should receive appropriate medical evaluation.
Health plans must also be realistic.
Older adults may struggle with:
A perfect nutrition plan does nothing if the patient cannot afford the foods.
Community resources may include:
Medication may be appropriate for selected older adults.
However, this population requires careful consideration because of:
Weight reduction alone should not be the only treatment outcome.
Orlistat reduces dietary fat absorption.
Important considerations include:
Potential concerns include:
These considerations may be especially important for older adults.
Potential issues include:
Dizziness deserves particular attention because it can increase fall risk.
GLP-1 receptor agonists and dual GIP/GLP-1 therapies have changed obesity treatment.
Examples include:
These treatments can help reduce:
Some also provide important cardiovascular benefits in appropriately selected populations.
For an older adult, the most important question is not simply:
“How much weight was lost?”
We should also ask:
“How much strength was preserved?”
Substantial calorie reduction may be associated with lean tissue loss.
Therefore, older patients receiving medical weight-management therapy should also receive attention to:
Liraglutide has been evaluated for obesity and diabetes.
Older adults may experience similar weight-loss benefits, although gastrointestinal effects may become more problematic with increasing age.
Semaglutide can produce substantial weight reduction.
It has also demonstrated cardiovascular benefits in selected people with overweight or obesity and cardiovascular disease.
Older patients should be monitored carefully for:
Tirzepatide acts on both GIP and GLP-1 pathways and can produce substantial weight loss.
Again, older adults require monitoring for:
I do not want a patient to lose substantial body weight while losing the ability to:
A successful weight-management program should ideally improve both body composition and function.
Hormonal changes may contribute to changes in body composition with aging.
Testosterone contributes to:
Testosterone therapy may be appropriate for selected men with clinically confirmed deficiency.
Treatment requires individualized medical evaluation and monitoring.
Lifestyle measures remain important regardless of hormone therapy.
Estrogen influences:
Hormone therapy may be appropriate for selected women following individualized evaluation and shared decision-making.
It should complement, not replace, nutrition, resistance exercise, sleep, and other foundations of healthy aging.
Whole-body electromyostimulation may serve as an exercise adjunct for selected patients who cannot initially tolerate conventional resistance exercise.
Potential advantages include:
However, the ultimate goal should generally remain progression toward active physical training when possible.
Bariatric surgery may be considered for selected older adults with severe obesity.
Age alone should not determine candidacy.
A comprehensive evaluation should consider:
Rapid postoperative weight loss can increase the importance of:
Obesity can contribute to cardiovascular disease through:
Older adults may already have reduced physiological reserve.
This makes prevention and careful treatment especially important.
Type 2 diabetes is common among older adults.
Medication selection should consider the risk of hypoglycemia.
Low blood sugar may cause:
Treatment targets should therefore be individualized.
Long-term metformin therapy can contribute to vitamin B12 deficiency.
B12 deficiency may be associated with:
Monitoring may be appropriate in long-term users.
SGLT2 inhibitors may provide cardiovascular and renal benefits in selected patients.
Older adults should be monitored for:
Again, fall risk is part of the overall clinical picture.
Mental and physical health frequently overlap.
Depression may contribute to:
Chronic pain may amplify these problems.
If movement is painful, exercise becomes harder.
If exercise decreases, metabolic and musculoskeletal health may decline further.
Older adults with obesity frequently experience:
Do not treat these symptoms as unrelated side issues.
They can determine whether the patient succeeds with an exercise program.
Consider this progression:
Low-back pain → reduced walking → muscle loss → reduced glucose utilization → lower energy expenditure → additional weight gain
If appropriate nonsurgical care restores movement, the patient may be better able to follow the metabolic treatment plan.
This bridges conservative musculoskeletal treatment and metabolic health.
Metabolic dysfunction-associated steatotic liver disease, or MASLD, is strongly linked with:
Management emphasizes improving the underlying metabolic environment through:
Consider Mrs. Armstrong, a 65-year-old woman with sarcopenic obesity.
She lives alone and reports very little confidence in her ability to exercise.
Healthy foods feel financially and practically difficult for her.
Her BMI is 28.
Her waist circumference is 41 inches, and her waist-to-height ratio is elevated.
These findings highlight the limitations of relying only on BMI.
Suppose Mrs. Armstrong also reports:
Simply telling her to exercise more will probably not work.
We first need to understand what is limiting her.
A musculoskeletal assessment may examine:
Appropriate conservative care may include:
The objective is to reduce barriers to movement.
A dietitian may help identify affordable protein sources such as:
Community support programs may also help.
We do not need Mrs. Armstrong to become an athlete.
We want her to:
Now consider a 78-year-old man with Class III obesity and:
In a medically complex patient like this, treatment goals may need to change.
The objective may no longer be reaching a specific BMI.
Instead, we may focus on:
Treatment must match the patient’s medical status.
Appropriate interventions may include:
The principle is simple:
Match the intervention to the patient’s physiological reserve.
Goals:
Possible interventions:
Goals:
Exercises may include:
Progress toward:
Long-term priorities include:
Monitor:
Older adults should not sacrifice excessive functional muscle in pursuit of rapid weight reduction.
Pain can be one of the biggest obstacles to exercise.
Identify and appropriately manage the musculoskeletal cause.
Manual treatment may help reduce symptoms.
Long-term independence requires:
Consider:
Complex patients often benefit from collaboration among:
Obesity in adults over 60 is not simply a problem of excessive body weight.
It can affect:
Musculoskeletal pain deserves particular attention.
Excess body weight can place greater mechanical stress on the spine and joints.
Visceral adiposity contributes to systemic inflammation.
Pain may then reduce movement.
Reduced movement can accelerate sarcopenia.
Muscle loss can worsen both metabolic health and joint stability.
This creates a cycle:
Obesity → musculoskeletal stress → pain → inactivity → muscle loss → declining mobility → metabolic dysfunction
The good news is that you can address multiple points in this cycle.
Nonsurgical treatments such as appropriately selected chiropractic care and rehabilitation may help some patients reduce musculoskeletal symptoms and move more comfortably.
That movement can then support:
Chiropractic care does not replace medical obesity treatment.
It complements it by helping address the structural and functional problems that can keep patients from moving.
The question should therefore not simply be:
“How many pounds did the patient lose?”
We should also ask:
Those outcomes are central to healthy aging.
Our ultimate objective is to help patients move better, hurt less, become stronger, preserve independence, and add more quality to the years ahead.
This educational post is intended for general informational purposes and should not replace individualized medical evaluation, diagnosis, or treatment.
Obesity, sarcopenia, chronic musculoskeletal pain, metabolic disease, and mobility disorders require individualized assessment.
Select chiropractic care, rehabilitation, exercise, nutritional interventions, hormone therapy, and pharmaceutical weight management based on the patient’s medical history, diagnosis, medications, functional capacity, and individual risk factors.
obesity in older adults, obesity and musculoskeletal pain, obesity and back pain, obesity and knee pain, obesity and joint pain, obesity and osteoarthritis, chronic pain and obesity, sarcopenic obesity, sarcopenia, muscle loss aging, integrative chiropractic care, chiropractic care older adults, nonsurgical pain treatment, chiropractic rehabilitation, Dr. Alex Jimenez, El Paso chiropractor, Injury Medical Clinic, Mission Plaza Injury Medical Clinic, healthy aging, functional longevity, resistance training older adults, protein intake older adults, vitamin D older adults, metabolic health, visceral adiposity, central obesity, waist circumference, waist-to-height ratio, fall prevention older adults, gait rehabilitation, balance training, joint mobility, therapeutic exercise, functional medicine, GLP-1 receptor agonists, semaglutide older adults, tirzepatide older adults, liraglutide, type 2 diabetes older adults, cardiovascular health obesity, MASLD aging, sleep and obesity, circadian rhythms, physical rehabilitation, multidisciplinary care, patient-centered care, quality of life, physical function, healthy weight management
General Disclaimer, Licenses and Board Certifications *
Professional Scope of Practice *
The information herein on "Chiropractic Care: A Comprehensive Guide to Reduce Obesity" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Blog Information & Scope Discussions
Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a Multi-State board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our multidisciplinary team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those on this site and on our family practice-based chiromed.com site, focusing on naturally restoring health for patients of all ages.
Our areas of multidisciplinary practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is multidisciplinary, focusing on musculoskeletal and physical medicine; wellness; contributing etiological viscerosomatic disturbances within clinical presentations; associated somato-visceral reflex clinical dynamics; subluxation complexes; sensitive health issues; and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist follows their professional scope of practice and licensure jurisdiction. We use functional health & wellness protocols to treat and support care for musculoskeletal injuries or disorders.
Our videos, posts, topics, and insights address clinical matters and issues that directly or indirectly relate to our clinical scope of practice.
Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.
For further discussion on how this information relates to specific care plans or treatment protocols, please ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
We are here to help you and your family.
Blessings
Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
Email: coach@elpasofunctionalmedicine.com
Multidisciplinary Licensing & Board Certifications:
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Chiropractic Licenses:
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182
Nurse Practitioner Licenses:
Texas APRN License #: 1191402, Verified: 1191402 *
New Mexico CNP License #: 90560, Verified 90560
Florida APRN License #: 11043890, Verified: APRN11043890 *
Colorado License #: C-APN.0105610-C-NP, Verified: C-APN.0105610-C-NP
New York License #: N25929, Verified N25929
Georgia APRN License #: GAA-NP005701
Multi-State Advanced Practice Registered Nurse (APRN*) Texas & Multi-States
Multi-state Compact APRN License by Endorsement (43 States)
Compact Status: Multi-State License: Authorized to Practice in 43 States*
Nursing Licensure Compact: Updated Here
DEA Registration: (Drug Enforcement Agency Registered)
All medical (MDs) and family practice providers (FNP-APRN) are registered and licensed to offer various levels of medication.
Verify Providers Here
License Verification Link: Nursys License Verifier
* Prescriptive Authority Authorized (DEA Registered Providers). Call if Required
Board Certification:
ANCC FNP-BC: Board Certified Nurse Practitioner*
Education:
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice, MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
DC & FNP License (Review Above)
Digital Business Card
NPI: 1205907805
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)
(Licensed Medical Doctor)
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
Licenses and Board Certifications:
MD: Medical Doctor
DC: Doctor of Chiropractic
APRNP: Advanced Practice Registered Nurse
FNP-BC: Family Practice Specialization (Multi-State Board Certified)
FNP-BC: Family Practice Across Life Span (Neonatal to Geriatrics)
RN: Registered Nurse (Multi-State Compact License)
CFMP: Certified Functional Medicine Provider
MSN-FNP: Master of Science in Family Practice Medicine
MSACP: Master of Science in Advanced Clinical Practice
IFMCP: Institute of Functional Medicine
CCST: Certified Chiropractic Spinal Trauma
ATN: Advanced Translational Neutrogenomics
Family with Primary Care Focus (Family Nurse Practitioner or FNP)
Memberships & Associations:
TCA: Texas Chiropractic Association: Member ID: 104311
TNA: Texas Nurse Association: Member ID: 06458222
TNP: Texas Nurse Practitioner Association ID: 2025091511
AANP: American Association of Nurse Practitioners: Member ID: 2198960
ANA: American Nurses Association: Member ID: 06458222 (District TX01)
| Primary Taxonomy | Selected Taxonomy | State | License Number |
|---|---|---|---|
| No | 111N00000X - Chiropractor | NM | DC2182 |
| Yes | 111N00000X - Chiropractor | TX | DC5807 |
| Yes | 363LF0000X - Nurse Practitioner - Family | TX | 1191402 |
| Yes | 363LF0000X - Nurse Practitioner - Family | FL | 11043890 |
| Yes | 363LF0000X - Nurse Practitioner - Family | CO | C-APN.0105610-C-NP |
| Yes | 363LF0000X - Nurse Practitioner - Family | NY | N25929 |
| Yes | 363LF0000X - Nurse Practitioner - Family | NM |
90560 |
| Yes | 363LF0000X - Nurse Practitioner - Family | GA | GAA-NP005701 |
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Primary Care Across Lifespan—Neonatal / Pediatric / Adult / Geriatrics)
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
NPI: 1205907805
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)*
(Licensed Medical Doctor)*
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
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