MEDICARE: WILKYWAY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1306776380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILKYWAY LLC

Provider Business Mailing Address
First Line	:	4429 NELSON RD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-4135
Country	:	US
Telephone Number	:	512-897-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	4429 NELSON RD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-4135
Country	:	US
Telephone Number	:	512-897-3925
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	DR. COLE WILKINSON
Credential	:	DC
Telephone Number	:	512-897-3925

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/22/2026

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Directions to “WILKYWAY LLC ” Practice Location

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