Healthcare Provider Details

I. General information

NPI: 1891583837
Provider Name (Legal Business Name): BUILD BEYOND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 E FAYETTE ST
HILLSDALE MI
49242-1340
US

IV. Provider business mailing address

PO BOX 54
HILLSDALE MI
49242-0054
US

V. Phone/Fax

Practice location:
  • Phone: 760-902-0542
  • Fax:
Mailing address:
  • Phone: 760-902-0542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER CARL NETLEY
Title or Position: OWNER
Credential: DC
Phone: 760-902-0542