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Organization

BODYWORX HEALTH STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB HAMBLIN HEALEY D.C. (CLINICAL DIRECTOR)
(602) 710-6050
Entity
Organization

Contact information

Practice address
13291 W MCDOWELL RD STE E4, GOODYEAR, AZ 85395-2634
(623) 218-6676
Mailing address
13291 W MCDOWELL RD STE E4, GOODYEAR, AZ 85395-2634
(623) 218-6676

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8203
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578844874
NPI INDIVIDUAL
Enumeration date
09/10/2013
Last updated
09/10/2013
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