Organization
ROOTED IN WELLNESS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY M TILLMAN DC (OWNER)
(913) 609-1227
Entity
Organization
Contact information
Practice address
5600 S 59TH ST STE 103, LINCOLN, NE 68516-2387
(402) 580-8571
Mailing address
5600 S 59TH ST STE 103, LINCOLN, NE 68516-2387
(402) 580-8571
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026812400
—
NE
01
—
1852
CHIROPRACTIC LICENSE
NE
Enumeration date
01/14/2020
Last updated
07/22/2021
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