Provider Demographics
NPI:1093951451
Name:HEALTHY START CHIROPRACTIC & WELLNESS, PC
Entity Type:Organization
Organization Name:HEALTHY START CHIROPRACTIC & WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEONIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-423-4325
Mailing Address - Street 1:5710 S 53RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3276
Mailing Address - Country:US
Mailing Address - Phone:402-423-4325
Mailing Address - Fax:402-904-4223
Practice Address - Street 1:5710 S 53RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3276
Practice Address - Country:US
Practice Address - Phone:402-309-4963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1543111N00000X
NE1542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty