Provider Demographics
NPI:1134931926
Name:COMPLETE WELLNESS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:COMPLETE WELLNESS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COXWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-236-4218
Mailing Address - Street 1:241 KELLOGG BLVD E APT 514
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-5501
Mailing Address - Country:US
Mailing Address - Phone:507-236-4218
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST N
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:MN
Practice Address - Zip Code:56098-2097
Practice Address - Country:US
Practice Address - Phone:507-236-4218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty