Organization
COASTAL THERAPEUTICS AND WELLNESS CENTER
Active
Organization
COASTAL THERAPEUTICS AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONCEPTION P GONZALES LMT (OWNER)
(808) 600-1771
Entity
Organization
Contact information
Practice address
9573 SHORE DR STE F, NORFOLK, VA 23518-1722
(808) 600-1771
Mailing address
3807 FLOWERFIELD RD APT A, NORFOLK, VA 23518-4700
(808) 600-1771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
225700000X
Massage Therapist
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up