Provider Demographics
NPI:1023722766
Name:TAPROOT CHIROPRACTIC AND WELLNESS CARE, PLLC
Entity type:Organization
Organization Name:TAPROOT CHIROPRACTIC AND WELLNESS CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZELAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-604-8273
Mailing Address - Street 1:474 SAGAMORE RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2027
Mailing Address - Country:US
Mailing Address - Phone:714-604-8273
Mailing Address - Fax:
Practice Address - Street 1:81 PORTSMOUTH AVE STE D
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-4409
Practice Address - Country:US
Practice Address - Phone:714-604-8273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty