Healthcare Provider Details

I. General information

NPI: 1407038896
Provider Name (Legal Business Name): HEALING HANDS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 12/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 WEST WOOD STREET
WILLOWS CA
95988-2836
US

IV. Provider business mailing address

420 WEST WOOD STREET
WILLOWS CA
95988-2836
US

V. Phone/Fax

Practice location:
  • Phone: 530-934-9500
  • Fax: 530-934-9525
Mailing address:
  • Phone: 530-934-9500
  • Fax: 530-934-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0295000
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0292660
License Number StateCA

VIII. Authorized Official

Name: DR. MONICA JAIMES HUTSON-THROM
Title or Position: OWNER, DOCTOR
Credential: DC
Phone: 530-934-9500