MEDICARE: THE THERAPY HOUSE CHIROPRACTIC & WELLNESS 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	:	1346113180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE THERAPY HOUSE CHIROPRACTIC & WELLNESS LLC

Provider Business Mailing Address
First Line	:	606 PARK AVE N
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-4322
Country	:	US
Telephone Number	:	229-278-2296
Fax Number	:	229-239-9909

Provider Business Practice Location Address
First Line	:	606 PARK AVE N
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-4322
Country	:	US
Telephone Number	:	229-278-2296
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LORELI ESCOLERO
Credential	:	DC
Telephone Number	:	229-278-2296

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	04/16/2026

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