Provider Demographics
NPI:1316375058
Name:KATIE GREELEY DC, INC
Entity Type:Organization
Organization Name:KATIE GREELEY DC, INC
Other - Org Name:AUSTIN WELLNESS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GREELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC,
Authorized Official - Phone:512-234-1868
Mailing Address - Street 1:6618 SITIO DEL RIO BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1143
Mailing Address - Country:US
Mailing Address - Phone:512-234-1868
Mailing Address - Fax:
Practice Address - Street 1:6618 SITIO DEL RIO BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1143
Practice Address - Country:US
Practice Address - Phone:512-234-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12133111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty