Organization
COTTRELL FAMILY CHIROPRACTIC
Active
Organization
COTTRELL FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN A COTTRELL D.C. (OWNER)
(304) 776-7290
Entity
Organization
Contact information
Practice address
127 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1434
(304) 776-7290
(304) 776-8058
Mailing address
127 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1434
(304) 776-7290
(304) 776-8058
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
671
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207501000
—
WV
Enumeration date
05/08/2007
Last updated
10/05/2021
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