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NPI Code Detail

MEDICARE: COOLEY CHIROPRACTIC

MEDICARE: COOLEY CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1184354029
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOLEY CHIROPRACTIC
Provider Business Mailing Address
First Line : 6605 PRECINCT LINE RD STE 100B
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4324
Country : US
Telephone Number : 817-281-1995
Fax Number : 817-281-2174
Provider Business Practice Location Address
First Line : 6605 PRECINCT LINE RD STE 100B
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4324
Country : US
Telephone Number : 817-281-1995
Fax Number : 817-281-2174
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. KENT R COOLEY
Credential : DC
Telephone Number : 817-281-1995
Provider Enumeration Date : 06/14/2022
Last Update Date : 06/14/2022

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Directions to “COOLEY CHIROPRACTIC ” Practice Location

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