Provider Demographics
NPI:1578791844
Name:WELLNESS IN MOTION CHIROPRACTIC CENTER INC
Entity type:Organization
Organization Name:WELLNESS IN MOTION CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CISTERNINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-220-6108
Mailing Address - Street 1:712 SE 32ND TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-4124
Mailing Address - Country:US
Mailing Address - Phone:708-220-6108
Mailing Address - Fax:
Practice Address - Street 1:712 SE 32ND TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-4124
Practice Address - Country:US
Practice Address - Phone:708-220-6108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty