Healthcare Provider Details

I. General information

NPI: 1720916463
Provider Name (Legal Business Name): HOZHO WELLNESS AND CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US-64 & US-491 N UNIT 1-C
SHIPROCK NM
87420
US

IV. Provider business mailing address

PO BOX 855
SHIPROCK NM
87420-0855
US

V. Phone/Fax

Practice location:
  • Phone: 505-654-5141
  • Fax:
Mailing address:
  • Phone: 505-654-5141
  • 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. TANISHA KAYLA BEGAY
Title or Position: OWNER
Credential: DC, MS, BS
Phone: 505-801-8658