BODY IN BALANCE CHIROPRACTIC AND WELLNESS, PLLC (NPI# 1619377504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619377504 |
| Entity Type | Organization |
| Organization Name | BODY IN BALANCE CHIROPRACTIC AND WELLNESS, PLLC |
| Practice Address |
2205 W 136th Ave 112 Broomfield CO 80023-9306 |
| Practice Telephone | 3035891589 |
| Mailing Telephone | 3035891589 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DR. WARNER MARTIN HETTICK (OWNER) |
| Authorized Official Telephone | 3035891589 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60141578 | WA | Chiropractic Providers |
| Street Address |
2205 W 136TH AVE 112 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80023-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134556939 | Sns Technical Services, LLC | Specialist/Technologist, Other | 2205 W 136th Ave, Suite 106 #208, Broomfield, CO 80023-9306 | 2013-10-11 |
| 1508303173 | Patrick Hailey | Chiropractor | 2205 W 136th Ave, Broomfield, CO 80023-9306 | 2017-01-20 |
| 1023562600 | Geiselhofer Limited | Dental Hygienist | 2205 W 136th Ave, 106-159, Broomfield, CO 80023-9306 | 2016-08-11 |
| 1275087819 | Jennifer Lynn Geiselhofer | Dental Hygienist | 2205 W 136th Ave, 106-159, Broomfield, CO 80023-9306 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003204249 | Discover Health and Wellness Broomfield | Chiropractor | 2095 W 6th Ave Ste 105, Broomfield, CO 80020-1870 | 2014-12-22 |
| 1891060323 | Susan G. Cole, Dc, LLC | Chiropractor | 13606 Xavier Ln Ste D, Broomfield, CO 80023-3604 | 2012-03-16 |
| 1770870362 | Christine M Wrabetz | Chiropractor | 2800 Elaine Dr, Broomfield, CO 80020-5476 | 2011-07-01 |
| 1558676981 | Dorian Haywood | Chiropractor | 2205 W. 136th Ave. #112, Broomfield, CO 80023 | 2010-08-10 |
| 1508099383 | Rebecca E. Updyke,d.c.,p.c. | Chiropractor | 555 Highway 287, Broomfield, CO 80020-7088 | 2009-08-27 |
| 1790916179 | Joel Lindeman | Chiropractor | 3303 W 144th Ave Ste 200, Broomfield, CO 80023-9480 | 2009-08-03 |
| 1881845923 | Kara R Tritschler | Chiropractor | 6343 W 120th Ave, Suite 106, Broomfield, CO 80020-3711 | 2008-10-07 |
| 1700070729 | Optimal Health Chiropractic | Chiropractor | 12995 Sheridan Blvd Ste 101, Broomfield, CO 80020-1488 | 2007-09-03 |
| 1609075845 | Michael D. Schrad | Chiropractor | 7105 W 119th Pl, Broomfield, CO 80020-2809 | 2007-07-17 |
| 1598969289 | Timothy Graves | Chiropractor | 350 Interlocken Blvd Ste 395, Broomfield, CO 80021-8006 | 2007-06-14 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80023 |
Please comment or provide details below to improve the information on BODY IN BALANCE CHIROPRACTIC AND WELLNESS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.