Provider Demographics
NPI:1346686391
Name:BETTER BODY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:BETTER BODY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HASENCLEVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-925-8623
Mailing Address - Street 1:902B S WALTON BLVD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-6237
Mailing Address - Country:US
Mailing Address - Phone:479-925-8623
Mailing Address - Fax:
Practice Address - Street 1:902B S WALTON BLVD
Practice Address - Street 2:SUITE 18
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6237
Practice Address - Country:US
Practice Address - Phone:479-925-8623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty