WELLNESS SPORT & SPINE CHIROPRACTIC PLLC
NPI 1417009283
Chiropractor in Vestal, NY

Q: What is Wellness Sport & Spine Chiropractic PLLC's specialty?

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

Active since January 18, 2007

130 FRONT ST, VESTAL, NY 13850(607) 786-3601(607) 834-7029 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellness Sport & Spine Chiropractic Pllc NPPES

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

WELLNESS SPORT & SPINE CHIROPRACTIC PLLC (NPI 1417009283) is a healthcare organization registered as a chiropractor in Vestal, New York and active in the NPI registry since January 2007. The organization lists Kim C Miller, Doctor, as its authorized official.

NPPES Registry Identity

NPI1417009283

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameWELLNESS SPORT & SPINE CHIROPRACTIC PLLC

Location Address130 FRONT STVestal, NY 13850-1562

Mailing Address130 Front StVestal, NY 13850-1562 · (607) 786-3601 · Fax (607) 834-7029

Phone(607) 786-3601

Fax(607) 834-7029

Organization SubpartNo

Authorized OfficialKim C MillerDoctor · (607) 786-3601

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJune 17, 2014

✔ NPI 1417009283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X009961-1

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.

130 FRONT ST, Vestal, NY 13850

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Other Identifiers 5

Other5734880001NY · Dmepos

Other648821NY · United Health Care

Other1003840711NY · Npi Individual

Other000143666NY · Excellus Bc Bs

Other100651380167NY · Cdphp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. KIM C MILLER DC, ATC

Chiropractor

130 FRONT ST, SUITE B
VESTAL, NY 13850

Broome County (607) 786-3601

DR. ARTHUR WILLIAM FRENZ PH.D.

Psychologist (Clinical)

130 FRONT ST, SUITE 1
VESTAL, NY 13850

Broome County (607) 741-1212

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 Wellness Sport & Spine Chiropractic PLLC's NPI number?

The NPI number for Wellness Sport & Spine Chiropractic PLLC is 1417009283. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Wellness Sport & Spine Chiropractic PLLC located?

Wellness Sport & Spine Chiropractic PLLC is located at 130 Front St, Vestal, NY 13850. The listed phone number is (607) 786-3601.

What is Wellness Sport & Spine Chiropractic PLLC'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 Wellness Sport & Spine Chiropractic PLLC was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.