Healthcare Provider Details

I. General information

NPI: 1164753083
Provider Name (Legal Business Name): A HEALING CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 W CALLE LEJOS
PEORIA AZ
85383-1210
US

IV. Provider business mailing address

26196 N 86TH AVE
PEORIA AZ
85383-3690
US

V. Phone/Fax

Practice location:
  • Phone: 602-789-0880
  • Fax: 602-789-0891
Mailing address:
  • Phone: 602-789-0880
  • Fax: 602-789-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5275
License Number StateAZ

VIII. Authorized Official

Name: DR. JUDITH B. HARVILLA
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 602-435-0013