Healthcare Provider Details

I. General information

NPI: 1275468340
Provider Name (Legal Business Name): KOKOPELLI CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103D REGENCY COMMONS DR
GREER SC
29650-5210
US

IV. Provider business mailing address

103D REGENCY COMMONS DR
GREER SC
29650-5210
US

V. Phone/Fax

Practice location:
  • Phone: 404-372-5602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LUKE DAVIS
Title or Position: DR.
Credential: D.C.
Phone: 404-372-5602