STRACK CHIROPRACTIC WELLNESS CENTER, LLC (NPI# 1184197618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184197618 |
| Entity Type | Organization |
| Organization Name | STRACK CHIROPRACTIC WELLNESS CENTER, LLC |
| Practice Address |
246 Creekstone Rdg Woodstock GA 30188-3732 |
| Practice Telephone | 6784949668 |
| Mailing Telephone | 6784949668 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. KENNETH CHARLES STRACK (OWNER) |
| Authorized Official Telephone | 6784806075 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
Chiropractic Providers | ||
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
Chiropractic Providers | ||
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| N | 111NT0100X |
Chiropractor Specialization: Thermography |
Chiropractic Providers | ||
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
Chiropractic Providers | ||
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers | ||
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers |
| Street Address |
246 CREEKSTONE RDG |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235234659 | Donna Alexander | Chiropractor | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2006-09-13 |
| 1497281810 | Kenneth Strack | Chiropractor | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2017-05-04 |
| 1497012298 | Cleary Family Chiropractic LLC | Clinic/Center | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2012-04-18 |
| 1376827006 | Matthew B Cleary | Chiropractor | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2011-09-29 |
| 1891983631 | Advanced Pain & Spine Center | Chiropractor | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2007-10-05 |
| 1740359454 | David P. Sikanowicz | Chiropractor | 246 Creekstone Rdg, Woodstock, GA 30188-3732 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417136797 | Michal J Nesnick | Chiropractor | 1025 Rose Creek Dr, Ste 340, Woodstock, GA 30189 | 2007-11-02 |
| 1912928185 | Glenn Richard Eltz | Chiropractor | 8720 Main St, Suite 120, Woodstock, GA 30188-4946 | 2006-07-22 |
| 1275088056 | Jonathan P. Snow LLC | Chiropractor | 301 Gold Creek Trl, Woodstock, GA 30188-5404 | 2016-08-22 |
| 1568476760 | Alan Dennis Anderson | Chiropractor | 8720 Main St, Suite 120, Woodstock, GA 30188-4946 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
| 1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
| 1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
| 1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
| 1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
| 1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
| 1720424310 | Georgia Gwinnett Clinic | Chiropractor | 2856 Buford Highway, Suite 7, Duluth, GA 30096 | 2013-05-22 |
| 1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
| 1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
| 1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.