SEA CHANGE CHIROPRACTIC AND WELLNESS NPI 1669609350

NPI Information

  • NPI: 1669609350
  • Provider Name: SEA CHANGE CHIROPRACTIC AND WELLNESS
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 821 CLIFF ST
    SUITE 300
    ITHACA, NY
    ZIP 14850
  • Phone: (607) 256-9355

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NPI Details

SEA CHANGE CHIROPRACTIC AND WELLNESS is a chiropractor in Ithaca, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SEA CHANGE CHIROPRACTIC AND WELLNESS NPI is 1669609350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 CLIFF ST
SUITE 300
ITHACA, NY
ZIP 14850-017
Phone: (607) 256-9355
Fax: (607) 275-9355

The provider's authorized official is Ammitai Worob .
The authorized official title is Chiropractor and has the following contact phone number (607) 256-9355.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 12/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor011697NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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