Provider Demographics
NPI:1356119531
Name:RIVER CITY WELLNESS 2
Entity type:Organization
Organization Name:RIVER CITY WELLNESS 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPELOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-595-2818
Mailing Address - Street 1:8708 S CONGRESS AVE STE 570
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-7379
Mailing Address - Country:US
Mailing Address - Phone:512-535-4500
Mailing Address - Fax:737-931-1966
Practice Address - Street 1:1530 FM 973
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-4540
Practice Address - Country:US
Practice Address - Phone:512-535-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty