Provider Demographics
NPI:1053417824
Name:KEYS TO WELLNESS CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:KEYS TO WELLNESS CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RATLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:432-697-5483
Mailing Address - Street 1:3205 W CUTHBERT AVE
Mailing Address - Street 2:B2
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5514
Mailing Address - Country:US
Mailing Address - Phone:432-697-5483
Mailing Address - Fax:432-697-8482
Practice Address - Street 1:3205 W CUTHBERT AVE
Practice Address - Street 2:B2
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5514
Practice Address - Country:US
Practice Address - Phone:432-697-5483
Practice Address - Fax:432-697-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty