Allegheny Mountain Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ALLEGHENY MOUNTAIN WELLNESS LLC

Practice address

181 Route 6 W
Coudersport, PA 16915-8462

Phone

(814) 558-3601

NPI assigned

Aug 10, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Lewis Freeman, D.C.NPI 1841979416

Title

Ceo

Phone

(814) 558-3601

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Lewis Freeman, DC

  • Chiropractor
  • Coudersport, PA
  • NPI 1841979416
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1710660295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TROUPE RD",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158369",
            "telephone_number": "814-558-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ROUTE 6 W",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158462",
            "telephone_number": "814-558-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY MOUNTAIN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-558-3601",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Anne Adams, PA-C
• Saeed Akbari, M.D.
• MHD Said Al Zein, MD
• Keri Sue Anderson, RDH, PHDHP
• Theresa A Arvesen, MD
• Celinda Marie Austin-Strick, NP
• Celso Luiz Backes, MD
• Kristine N Ball, CNM

• Chiropractor in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.