Provider Demographics
NPI:1417446584
Name:HEALTHY LIVING BY DESIGN
Entity Type:Organization
Organization Name:HEALTHY LIVING BY DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIEPENHOFF
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:567-712-6312
Mailing Address - Street 1:2503 SHAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1409
Mailing Address - Country:US
Mailing Address - Phone:419-204-9927
Mailing Address - Fax:
Practice Address - Street 1:2503 SHAWNEE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1409
Practice Address - Country:US
Practice Address - Phone:419-204-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty