Look up the most recent NPI and PECOS records

Kellie Wooten

(<Unavail>)

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kellie 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
1982889093
Provider Type
Organization
Full Name
Kellie Wooten
Other Name
<Unavail>

Subpart
No
Enumeration Date
1/8/2008
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

Authorized Official

Wooten, Kellie Raye (Owner)

(830) 386-0340

Provider Taxonomies

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

Kellie Wooten

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Dr Pamela A Tackett Dc Pc

Healing Hands Chiropractic Llc

Pecan Country Chiropractic, Llc

Frisbie, Terry K

Wells, Jacee Ann

Wooten, Kellie Raye

Steinbrenner, Christine Lynn

Hermes, Dana F.

Moring-Reuter, Carole Anne

Long, John L.