WICKED GOOD CHIROPRACTIC & WELLNESS GROUP, PC (NPI# 1871067124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871067124 |
| Entity Type | Organization |
| Organization Name | WICKED GOOD CHIROPRACTIC & WELLNESS GROUP, PC |
| Practice Address |
77 West St Ste A Mansfield MA 02048-2403 |
| Practice Telephone | 5083391418 |
| Practice Fax Number | 7742879486 |
| Mailing Telephone | 5083391418 |
| Mailing Fax Number | 7742879486 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | DR. SARAH ANN CORCORAN (PRESIDENT) |
| Authorized Official Telephone | 5083391418 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
77 WEST ST STE A |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119883 | Skylar Dian Camacho | Chiropractor | 1560 E Debbie Ln, Mansfield, TX 76063-8574 | 2020-06-25 |
| 1154892883 | Lifeforge, Pllc | Chiropractor | 408 S Main St Ste B, Mansfield, TX 76063-3183 | 2018-12-06 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1043750037 | Emily Puente | Chiropractor | 1475 Heritage Pkwy Ste 325, Mansfield, TX 76063-2736 | 2017-02-24 |
| 1972048106 | Julie Shaffer | Chiropractor | 812 Twin Creek Dr, Mansfield, TX 76063-2840 | 2016-12-26 |
| 1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
| 1457786329 | Stephen James Berndt | Chiropractor | 1229 Concho Trl, Mansfield, TX 76063-5768 | 2013-09-10 |
| 1043567761 | Ashley Nicole Carr | Chiropractor | 305 Regency Pkwy Ste 801, Mansfield, TX 76063-3794 | 2012-08-13 |
| 1972880854 | Olar Family Chiropractic, Inc | Chiropractor | 1115a Lexington Ave, Mansfield, OH 44907-2251 | 2011-11-07 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in MANSFIELD | ||||
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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.