MEDICARE: MOODY CHIROPRACTIC

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	:	1942168141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOODY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	4130 PIONEER WOODS DR STE 3
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-7552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 PIONEER WOODS DR STE 3
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-7552
Country	:	US
Telephone Number	:	402-658-4269
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	VANESSA ROSE WOOSLEY
Credential	:	DC
Telephone Number	:	402-658-4269

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “MOODY CHIROPRACTIC ” Practice Location

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