Provider Demographics
NPI:1053947556
Name:WOODLANDS CHIROPRACTIC AND REHABILLITATION PLLC
Entity type:Organization
Organization Name:WOODLANDS CHIROPRACTIC AND REHABILLITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-785-2771
Mailing Address - Street 1:800 TARPON WOODS BLVD STE F5
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2000
Mailing Address - Country:US
Mailing Address - Phone:727-785-2771
Mailing Address - Fax:
Practice Address - Street 1:800 TARPON WOODS BLVD STE F5
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2000
Practice Address - Country:US
Practice Address - Phone:727-785-2771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty