Provider Demographics
NPI:1457104648
Name:CONTINUITY WELLNESS
Entity Type:Organization
Organization Name:CONTINUITY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:OHARA
Authorized Official - Last Name:BLAINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LMT
Authorized Official - Phone:445-544-0016
Mailing Address - Street 1:816 W SPRINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-1222
Mailing Address - Country:US
Mailing Address - Phone:445-544-0016
Mailing Address - Fax:888-892-3138
Practice Address - Street 1:816 W SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-1222
Practice Address - Country:US
Practice Address - Phone:445-544-0016
Practice Address - Fax:888-892-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty