MEDICARE: HOMETOWN CHIRO & WELLNESS OF COLUMBIA PLLC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1588530646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMETOWN CHIRO & WELLNESS OF COLUMBIA PLLC

Provider Business Mailing Address
First Line	:	1072 CAMPBELLSVILLE RD
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-2238
Country	:	US
Telephone Number	:	270-250-6391
Fax Number	:

Provider Business Practice Location Address
First Line	:	1072 CAMPBELLSVILLE RD
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-2238
Country	:	US
Telephone Number	:	270-250-6391
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDON BENNETT
Credential	:	DC
Telephone Number	:	270-250-6391

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	12/01/2025

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