DR. MYNDIE WILLIS D.C.
NPI 1295843894
Chiropractor in San Angelo, TX

Q: What is Myndie Willis's NPI number?

The NPI number for Myndie Willis is 1295843894. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Myndie Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Myndie Willis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2006

4916 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 949-1112(325) 949-5551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Myndie Willis D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYNDIE WILLIS D.C. (NPI 1295843894) is an individual chiropractor in San Angelo, Texas, licensed in Texas (6027) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1295843894

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. MYNDIE WILLISCredential: D.C.

Location Address4916 KNICKERBOCKER RDSan Angelo, TX 76904-7517

Mailing Address4916 Knickerbocker RdSan Angelo, TX 76904-7517 · (325) 949-1112 · Fax (325) 949-5551

Phone(325) 949-1112

Fax(325) 949-5551

Sole ProprietorYes

Enumeration DateAugust 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295843894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 6027

Definition

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.

4916 KNICKERBOCKER RD, San Angelo, TX 76904

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Other Identifiers 2

Medicare UPINU40807TX

Medicare ID-Type Unspecified603857TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD ERIC HOLDRIDGE D.C.

Chiropractor

4916 KNICKERBOCKER RD
SAN ANGELO, TX 76904

Tom Green County (325) 949-1112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myndie Willis's NPI number?

The NPI number for Myndie Willis is 1295843894. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Myndie Willis located?

Myndie Willis practices at 4916 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 949-1112.

What is Myndie Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Myndie Willis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.