# HEALTHY BODY INTEGRATIVE MEDICINE

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

## Provider details

- **NPI number:** 1568117612
- **Authorized official:** MARCELLE A PETRY DC (OWNER)
- **Authorized official phone:** (817) 539-0044

## Contact information

- **Practice address:** 2400 HIGHWAY 287 N STE 104, MANSFIELD, TX 76063-8872
- **Practice address phone:** (817) 539-0044
- **Practice address fax:** (817) 539-0682
- **Mailing address:** 2400 HIGHWAY 287 N STE 104, MANSFIELD, TX 76063-8872
- **Mailing address phone:** (817) 539-0044
- **Mailing address fax:** (817) 539-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/17/2022
- **Last updated:** 02/17/2022