Coley Chiropractic PA

NPI #1760668388 in W Melbourne, Florida

Provider Information

NPI Number: 1760668388
Entity Type: Organization
Organization Name: Coley Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Jan 14, 2008
Last Updated: Oct 5, 2009

Practice Location

Address: 635 S WICKHAM RD
Address 2: SUITE 203
City: W Melbourne
State: Florida
ZIP Code: 32904-1436
Phone: (321) 723-1011

Authorized Official

Name: DR. KIMMIE L. COLEY, D.C.
Title: PRESIDENT/OWNER
Phone: (321) 723-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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