Look up the most recent NPI and PECOS records

Kellie Raye Wooten

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kellie Raye Wooten does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1629162896
Provider Type
Individual
Full Name
Wooten, Kellie Raye
Title
Dr.
Credential
D.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/3/2006
Last Updated
1/5/2010

Contact Information

Practice Location

102 Mosheim St, Seguin, TX 78155-4908

(830) 386-0340

Unlisted Fax

Mailing Location

102 Mosheim St, Seguin, TX 78155-4908

(830) 386-0340

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 8574 Texas

Provider Identifiers

ID	Description	Issuer
ID 606285	Description Other	Issuer BCBS PROVIDER NUMBER Texas

Kellie Raye Wooten

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Moring-Reuter, Carole Anne

Guerin, Lauren

Scaramozi, Dominic A

Healing Hands Chiropractic Llc

Long, John L.

Frisbie, Terry K

Steinbrenner, Christine Lynn

Dr Pamela A Tackett Dc Pc

Pecan Country Chiropractic, Llc

Tackett, Pamela A