Healthcare Provider Details

I. General information

NPI: 1578484630
Provider Name (Legal Business Name): GRACEFUL LIVING CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7287 E EARLL DRIVE BUILDING D SUITE 4
SCOTTSDALE AZ
85251
US

IV. Provider business mailing address

11465 N 141ST ST
SCOTTSDALE AZ
85259-3797
US

V. Phone/Fax

Practice location:
  • Phone: 480-269-0785
  • Fax:
Mailing address:
  • Phone: 480-269-0785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LOREN HAMILTON
Title or Position: OWNER
Credential: DC
Phone: 480-269-0785