Organization
WHOLE BODY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL GUSTITUS DC (CEO)
(414) 839-0983
Entity
Organization
Contact information
Practice address
8391 OLD COURTHOUSE RD STE 350, VIENNA, VA 22182-3819
(414) 839-0983
Mailing address
5213 27TH RD N, ARLINGTON, VA 22207-1724
(414) 839-0983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3937-012
STATE LICENSE
WI
Enumeration date
06/08/2022
Last updated
06/08/2022
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