Kellie Wooten

NPI #1982889093 in Seguin, Texas

Provider Information

NPI Number: 1982889093
Entity Type: Organization
Organization Name: Kellie Wooten
Primary Specialty: Chiropractor
Enumeration Date: Jan 8, 2008
Last Updated: Jan 5, 2010

Practice Location

Address: 102 MOSHEIM ST
City: Seguin
State: Texas
ZIP Code: 78155-4908
Phone: (830) 386-0340

Authorized Official

Name: DR. KELLIE RAYE WOOTEN, D.C.
Title: OWNER
Phone: (830) 386-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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