Healthcare Provider Details
I. General information
NPI: 1669227567
Provider Name (Legal Business Name): PATHWAYS CHIROPRACTIC AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
954 BUSINESS PARK DR STE 1
TRAVERSE CITY MI
49686-8763
US
IV. Provider business mailing address
954 BUSINESS PARK DR STE 1
TRAVERSE CITY MI
49686-8763
US
V. Phone/Fax
- Phone: 231-252-4249
- Fax: 313-380-5700
- Phone: 231-252-4249
- Fax: 313-380-5700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRANDON
LARABEE
Title or Position: DIRECTOR
Credential: DC
Phone: 231-690-7452