Provider Demographics
NPI:1366633935
Name:ARROWHEAD HEALTH COACH
Entity Type:Organization
Organization Name:ARROWHEAD HEALTH COACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANKS-MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-358-7429
Mailing Address - Street 1:PO BOX 52457
Mailing Address - Street 2:DEPT #3002
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85072-2457
Mailing Address - Country:US
Mailing Address - Phone:602-358-7429
Mailing Address - Fax:602-358-7434
Practice Address - Street 1:7759 W BELL RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-5805
Practice Address - Country:US
Practice Address - Phone:602-358-7429
Practice Address - Fax:602-358-7434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7478111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty