Provider Demographics
NPI:1639719271
Name:GAINING HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:GAINING HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-625-6786
Mailing Address - Street 1:3 OAKWOOD PARK PLZ STE 103
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1888
Mailing Address - Country:US
Mailing Address - Phone:405-625-6786
Mailing Address - Fax:
Practice Address - Street 1:3 OAKWOOD PARK PLZ STE 103
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1888
Practice Address - Country:US
Practice Address - Phone:405-625-6786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty