Healthcare Provider Details
I. General information
NPI: 1427913177
Provider Name (Legal Business Name): THE CATALYST SPINE CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
439 CONGAREE RD STE 15
GREENVILLE SC
29607-2868
US
IV. Provider business mailing address
439 CONGAREE RD STE 15
GREENVILLE SC
29607-2868
US
V. Phone/Fax
- Phone: 864-385-1037
- Fax:
- Phone: 864-385-1037
- 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:
TARA
NICOLE
MUELLER
Title or Position: CHIROPRACTOR
Credential:
Phone: 352-255-3161