Healthcare Provider Details
I. General information
NPI: 1134069594
Provider Name (Legal Business Name): THE COVE CHIROPRACTIC AND FAMILY WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
176 THOMAS JOHNSON DR STE 204
FREDERICK MD
21702-4538
US
IV. Provider business mailing address
1729 WHEYFIELD DR
FREDERICK MD
21701-9337
US
V. Phone/Fax
- Phone: 301-845-5321
- Fax:
- Phone: 240-446-0818
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASHLEY
HUMBERTSON
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 240-446-0818