=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104725944
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALIGN CHIROPRACTIC AND WELLNESS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2026
-----------------------------------------------------
Last Update Date | 11/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 E SMITH ST
-----------------------------------------------------
City | POPLARVILLE
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39470-2428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-337-1370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 E SMITH ST
-----------------------------------------------------
City | POPLARVILLE
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39470-2428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-337-1370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OF CHIROPRACTIC/ OWNER
-----------------------------------------------------
Name | DR. JESSICA KYRSTEN WHEAT
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 601-337-1370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------