=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053640979
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WRIGHT WELLNESS RESOURCES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/24/2009
-----------------------------------------------------
Last Update Date | 03/08/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10320 W MCDOWELL RD SUITE E 5013
-----------------------------------------------------
City | AVONDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85392-4863
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-936-9353
-----------------------------------------------------
Fax | 623-936-9354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 386
-----------------------------------------------------
City | LITCHFIELD PARK
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85340-0386
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-936-9353
-----------------------------------------------------
Fax | 623-936-9354
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | DR. ANNETTE WRIGHT-SMITH
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 623-936-9353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 305S00000X
-----------------------------------------------------
Taxonomy Name | Point of Service
-----------------------------------------------------
License Number | 7371
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------