Provider Demographics
NPI:1932722808
Name:COTA CARE CHIROPRACTIC AND WELLNESS, LLC
Entity Type:Organization
Organization Name:COTA CARE CHIROPRACTIC AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-310-4402
Mailing Address - Street 1:616 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-2540
Mailing Address - Country:US
Mailing Address - Phone:864-490-2739
Mailing Address - Fax:
Practice Address - Street 1:1060 BOILING SPRINGS RD STE 2
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2236
Practice Address - Country:US
Practice Address - Phone:864-310-4402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty