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COLEY CHIROPRACTIC PA NPI 1760668388


NPI Information

NPI: 1760668388
Provider Name: COLEY CHIROPRACTIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
635 S WICKHAM RD
SUITE 203
W MELBOURNE, FL
ZIP 32904
Phone: (321) 723-1011
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COLEY CHIROPRACTIC PA is a chiropractor in W Melbourne, FL. 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. COLEY CHIROPRACTIC PA NPI is 1760668388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

635 S WICKHAM RD
SUITE 203
W MELBOURNE, FL
ZIP 32904-436
Phone: (321) 723-1011
Fax: (321) 723-1110

The provider's authorized official is Kimmie L. Coley .
The authorized official title is President/owner and has the following contact phone number (321) 723-1011.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 10/5/2009.


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
1111N00000XChiropractorYes

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: 5/5/2024

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