MEDICARE: MITTEN WELLNESS BODYWORK & CHIROPRACTIC PLLC

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	:	1588501357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MITTEN WELLNESS BODYWORK & CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	2983 GARDNER AVE APT A
Second Line	:
City	:	BERKLEY
State	:	MI
Zip	:	48072-1399
Country	:	US
Telephone Number	:	989-274-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	2983 GARDNER AVE APT A
Second Line	:
City	:	BERKLEY
State	:	MI
Zip	:	48072-1399
Country	:	US
Telephone Number	:	989-274-2436
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	CARLYN JANE BELL MOLLOSEAU
Credential	:	DC
Telephone Number	:	989-274-2436

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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