Healthcare Provider Details

I. General information

NPI: 1063608263
Provider Name (Legal Business Name): WILLS CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TAMIAMI TRL N STE 402
NAPLES FL
34102-5481
US

IV. Provider business mailing address

1000 TAMIAMI TRL N STE 402
NAPLES FL
34102-5481
US

V. Phone/Fax

Practice location:
  • Phone: 239-331-6060
  • Fax: 941-882-6231
Mailing address:
  • Phone: 239-331-6060
  • Fax: 941-882-6231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 7944
License Number StateFL

VIII. Authorized Official

Name: DR. CHAD CHRISTOPHER WILLS
Title or Position: PRESIDENT
Credential: DC
Phone: 239-248-1732