# IDEAL WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477365849
- **Authorized official:** MICHAEL DORN (CEO/OWNER)
- **Authorized official phone:** (410) 916-6888

## Contact information

- **Practice address:** 220 W COLD SPRING LN, BALTIMORE, MD 21210-2802
- **Practice address phone:** (410) 662-4476
- **Practice address fax:** (410) 662-9884
- **Mailing address:** 220 W COLD SPRING LN, BALTIMORE, MD 21210-2802
- **Mailing address phone:** (410) 663-4476
- **Mailing address fax:** (410) 662-9884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/23/2025
- **Last updated:** 10/08/2026