# HARMONIOUS LIVING CHIROPRACTIC: FITNESS & WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1487094769
- **Authorized official:** DR. TIFFANY T BUTLER D.C. (OWNER)
- **Authorized official phone:** (410) 695-6045

## Contact information

- **Practice address:** 8288 TELEGRAPH RD, SUITE A, ODENTON, MD 21113-1130
- **Practice address phone:** (410) 695-6045
- **Mailing address:** 8288 TELEGRAPH RD, SUITE A, ODENTON, MD 21113-1130
- **Mailing address phone:** (410) 695-6045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | S03598 | MD | Yes |
| 111NS0005X | Sports Physician Chiropractor | S03598 | MD | — |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013