Provider Demographics
NPI:1871301861
Name:300 WELLNESS LLC
Entity type:Organization
Organization Name:300 WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BREONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-527-3850
Mailing Address - Street 1:23048 POCKET RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-9509
Mailing Address - Country:US
Mailing Address - Phone:785-527-3850
Mailing Address - Fax:
Practice Address - Street 1:10 BEDEL BLVD STE C
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-9118
Practice Address - Country:US
Practice Address - Phone:785-527-3850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-21
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty