Provider Demographics
NPI:1093945388
Name:ARBORETUM WELLNESS CENTER INC
Entity Type:Organization
Organization Name:ARBORETUM WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-343-2279
Mailing Address - Street 1:9828 GREAT HILLS TRL
Mailing Address - Street 2:SUITE 450
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6391
Mailing Address - Country:US
Mailing Address - Phone:512-343-2279
Mailing Address - Fax:512-590-8712
Practice Address - Street 1:9828 GREAT HILLS TRL
Practice Address - Street 2:SUITE 450
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6391
Practice Address - Country:US
Practice Address - Phone:512-343-2279
Practice Address - Fax:512-590-8712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0202111NN0400X
TX9211111NN1001X
TX0104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty