Provider Demographics
NPI:1881179604
Name:WELLNESS WITHIN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:WELLNESS WITHIN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:POWELL-WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-798-4225
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-0237
Mailing Address - Country:US
Mailing Address - Phone:989-798-4225
Mailing Address - Fax:
Practice Address - Street 1:520 IMLAY CITY RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3178
Practice Address - Country:US
Practice Address - Phone:810-664-4741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty