Healthcare Provider Details

I. General information

NPI: 1225677891
Provider Name (Legal Business Name): HEATH CHIROPRACTIC & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 W MAIN ST
LANDISVILLE PA
17538-1127
US

IV. Provider business mailing address

14 W MAIN ST
SALUNGA PA
17538-1127
US

V. Phone/Fax

Practice location:
  • Phone: 717-530-5555
  • Fax:
Mailing address:
  • Phone: 717-530-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS HEATH
Title or Position: OWNER
Credential: DC
Phone: 717-530-5555