Provider Demographics
NPI:1265500854
Name:WHOLE YOU CHIROPRATIC AND WELLNESS SPA LLC
Entity Type:Organization
Organization Name:WHOLE YOU CHIROPRATIC AND WELLNESS SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FURCHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-296-7676
Mailing Address - Street 1:1530 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5853
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 RAVINE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1941
Practice Address - Country:US
Practice Address - Phone:610-296-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty