Provider Demographics
NPI:1194608588
Name:WONDERLY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:WONDERLY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WONDERLY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-275-3034
Mailing Address - Street 1:100 HIGH TOWER BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1134
Mailing Address - Country:US
Mailing Address - Phone:412-275-3034
Mailing Address - Fax:412-275-3037
Practice Address - Street 1:100 HIGH TOWER BLVD STE 203
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1134
Practice Address - Country:US
Practice Address - Phone:412-275-3034
Practice Address - Fax:412-275-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty