Provider Demographics
NPI:1033232533
Name:WHOLE BODY HEALTH, INC.
Entity Type:Organization
Organization Name:WHOLE BODY HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-224-5557
Mailing Address - Street 1:204 EXECUTIVE CT
Mailing Address - Street 2:STE. 110
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4542
Mailing Address - Country:US
Mailing Address - Phone:501-224-5557
Mailing Address - Fax:501-224-5571
Practice Address - Street 1:204 EXECUTIVE CT
Practice Address - Street 2:STE. 110
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4542
Practice Address - Country:US
Practice Address - Phone:501-224-5557
Practice Address - Fax:501-224-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty