Provider Demographics
NPI:1689298234
Name:TWO PALMS CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:TWO PALMS CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-462-9553
Mailing Address - Street 1:5620 TARA BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-8865
Mailing Address - Country:US
Mailing Address - Phone:941-220-6993
Mailing Address - Fax:941-220-6969
Practice Address - Street 1:5620 TARA BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-8865
Practice Address - Country:US
Practice Address - Phone:941-220-6993
Practice Address - Fax:941-220-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care