Provider Demographics
NPI:1407038896
Name:HEALING HANDS CHIROPRACTIC
Entity Type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:JAIMES
Authorized Official - Last Name:HUTSON-THROM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-934-9500
Mailing Address - Street 1:420 WEST WOOD STREET
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2836
Mailing Address - Country:US
Mailing Address - Phone:530-934-9500
Mailing Address - Fax:530-934-9525
Practice Address - Street 1:420 WEST WOOD STREET
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2836
Practice Address - Country:US
Practice Address - Phone:530-934-9500
Practice Address - Fax:530-934-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0295000111N00000X
CADC0292660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty