Provider Demographics
NPI:1710527288
Name:APPALACHIA CHIROPRACTIC & WELLNESS PC
Entity Type:Organization
Organization Name:APPALACHIA CHIROPRACTIC & WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-553-5312
Mailing Address - Street 1:20120 ROUTE 19 STE 202
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6210
Mailing Address - Country:US
Mailing Address - Phone:724-553-5312
Mailing Address - Fax:724-553-5861
Practice Address - Street 1:20120 ROUTE 19 STE 202
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6210
Practice Address - Country:US
Practice Address - Phone:724-553-5312
Practice Address - Fax:724-553-5861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty