Provider Demographics
NPI:1972267102
Name:WEATHERLEY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:WEATHERLEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:WEATHERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-215-5135
Mailing Address - Street 1:2648 FM 407 E STE 145
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7008
Mailing Address - Country:US
Mailing Address - Phone:214-215-5135
Mailing Address - Fax:
Practice Address - Street 1:2648 FM 407 E STE 145
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7008
Practice Address - Country:US
Practice Address - Phone:214-215-5135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty