Provider Demographics
NPI:1942245642
Name:CHIROPRACTIC WELLNESS, INC
Entity Type:Organization
Organization Name:CHIROPRACTIC WELLNESS, INC
Other - Org Name:THE WELLNESS WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O.O. / OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-996-8450
Mailing Address - Street 1:10401 N 32ND ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3850
Mailing Address - Country:US
Mailing Address - Phone:602-996-8450
Mailing Address - Fax:602-996-8777
Practice Address - Street 1:10401 N 32ND ST
Practice Address - Street 2:SUITE B
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3850
Practice Address - Country:US
Practice Address - Phone:602-996-8450
Practice Address - Fax:602-996-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty