Provider Demographics
NPI:1114530318
Name:WITHIN HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:WITHIN HEALTH CHIROPRACTIC LLC
Other - Org Name:WITHIN HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACER
Authorized Official - Middle Name:
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-838-7718
Mailing Address - Street 1:1518 LEGACY DR STE 280
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6042
Mailing Address - Country:US
Mailing Address - Phone:469-998-2430
Mailing Address - Fax:
Practice Address - Street 1:7000 PRESTON RD STE 1200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2815
Practice Address - Country:US
Practice Address - Phone:469-998-2430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty