# ARIZONA WELLNESS CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elements of Wellness Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053542175
- **Authorized official:** DR. CHETT L MALLETT D.C. (OWNER)
- **Authorized official phone:** (602) 298-8400

## Contact information

- **Practice address:** 13934 N 59TH AVE, 100, GLENDALE, AZ 85306-4167
- **Practice address phone:** (602) 298-8400
- **Mailing address:** 13934 N 59TH AVE, 100, GLENDALE, AZ 85306-4167
- **Mailing address phone:** (602) 298-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009