Healthcare Provider Details
I. General information
NPI: 1801528476
Provider Name (Legal Business Name): BODY MECHANICS HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2022
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2802 CENTRAL AVE STE C
INDIANAPOLIS IN
46205-4198
US
IV. Provider business mailing address
2802 CENTRAL AVE STE C
INDIANAPOLIS IN
46205-4198
US
V. Phone/Fax
- Phone: 317-721-2537
- Fax: 317-663-1041
- Phone: 317-721-2537
- Fax: 317-663-1041
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAUREN
HARDEN
Title or Position: BUSINESS OWNER AND CHIROPRACTOR
Credential: D.C.
Phone: 317-833-8162