Healthcare Provider Details

I. General information

NPI: 1407737083
Provider Name (Legal Business Name): WERTLEY HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LUCY AVE
HUMMELSTOWN PA
17036-9134
US

IV. Provider business mailing address

125 LUCY AVE
HUMMELSTOWN PA
17036-9134
US

V. Phone/Fax

Practice location:
  • Phone: 717-915-7877
  • Fax: 717-323-6838
Mailing address:
  • Phone: 717-915-7877
  • Fax: 717-323-6838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: TRYSTAN WERTLEY
Title or Position: OWNER
Credential: DC
Phone: 717-915-7877