Provider Demographics
NPI:1114531225
Name:WESTERFIELD WELLNESS CLINIC LLC
Entity Type:Organization
Organization Name:WESTERFIELD WELLNESS CLINIC LLC
Other - Org Name:WESTERFIELD WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANISHIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WESTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-668-3599
Mailing Address - Street 1:PO BOX 2011
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-2011
Mailing Address - Country:US
Mailing Address - Phone:214-404-0425
Mailing Address - Fax:
Practice Address - Street 1:303 S JACKSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3914
Practice Address - Country:US
Practice Address - Phone:469-668-3599
Practice Address - Fax:833-215-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty