| Manifesting Health And Wellness, Llc | |
|
2530 W State Route 89a Ste B1 Sedona AZ 86336-5259 | |
| (612) 803-2238 | |
| Not Available |
| Full Name | Manifesting Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2530 W State Route 89a Ste B1, Sedona, Arizona |
| Authorized Official Name and Position | Kathryn Wallskog (OWNER) |
| Authorized Official Contact | 6128032238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifesting Health And Wellness, Llc 2530 W State Route 89a Ste B1 Sedona AZ 86336-5259 Ph: (612) 803-2238 | Manifesting Health And Wellness, Llc 2530 W State Route 89a Ste B1 Sedona AZ 86336-5259 Ph: (612) 803-2238 |
| NPI Number | 1568116895 |
|---|---|
| Provider Enumeration Date | 02/06/2022 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 3274927454 |
|---|---|
| Medicare Enrollment ID | O20220304000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568116895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathryn Suzanne Wallskog |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487242764 PECOS PAC ID: 3072927870 Enrollment ID: I20220304000358 |
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