Provider Demographics
NPI:1871370122
Name:INNATELY WELL CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:INNATELY WELL CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-931-5895
Mailing Address - Street 1:2 MAIN ST S STE 115
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3870
Mailing Address - Country:US
Mailing Address - Phone:701-852-5070
Mailing Address - Fax:701-852-5075
Practice Address - Street 1:108 MAIN ST S
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3914
Practice Address - Country:US
Practice Address - Phone:701-852-5070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty