Provider Demographics
NPI:1881087567
Name:CHIROTRENDZ LLC
Entity type:Organization
Organization Name:CHIROTRENDZ LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KOLBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-999-4700
Mailing Address - Street 1:18610 E RITTENHOUSE RD STE A101
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4503
Mailing Address - Country:US
Mailing Address - Phone:480-999-4700
Mailing Address - Fax:480-999-4700
Practice Address - Street 1:18610 E RITTENHOUSE RD STE A101
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4503
Practice Address - Country:US
Practice Address - Phone:480-999-4700
Practice Address - Fax:480-999-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8456111N00000X
AZ8350111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty