Provider Demographics
NPI:1962156000
Name:RELIEF CHIROPRACTIC WELLNESS PLLC
Entity type:Organization
Organization Name:RELIEF CHIROPRACTIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:VANSTEENBERGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-806-1573
Mailing Address - Street 1:PO BOX 1303
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039-8303
Mailing Address - Country:US
Mailing Address - Phone:860-806-1573
Mailing Address - Fax:
Practice Address - Street 1:64 SOUTH CENTER STREET
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546-1254
Practice Address - Country:US
Practice Address - Phone:860-806-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty