Healthcare Provider Details
I. General information
NPI: 1023722766
Provider Name (Legal Business Name): TAPROOT CHIROPRACTIC AND WELLNESS CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2023
Last Update Date: 01/09/2023
Certification Date: 01/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
81 PORTSMOUTH AVE STE D
STRATHAM NH
03885-4409
US
IV. Provider business mailing address
474 SAGAMORE RD
RYE NH
03870-2027
US
V. Phone/Fax
- Phone: 714-604-8273
- Fax:
- Phone: 714-604-8273
- Fax:
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.
LAURA
ANN
ZELAYA
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 714-604-8273