Healthcare Provider Details

I. General information

NPI: 1316337488
Provider Name (Legal Business Name): WINDS OF CHOICE CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2948 S RICHARDS AVE
SANTA FE NM
87507-5986
US

IV. Provider business mailing address

2948 S RICHARDS AVE
SANTA FE NM
87507-5986
US

V. Phone/Fax

Practice location:
  • Phone: 505-424-9114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1465
License Number StateNM

VIII. Authorized Official

Name: MS. WINDY G CARTER
Title or Position: OWNER
Credential: DC
Phone: 505-424-9114