Provider Demographics
NPI:1760667901
Name:HEALING HANDS CHIROPRACTIC P. C.
Entity Type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:435-615-2261
Mailing Address - Street 1:700 BITNER RD
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5489
Mailing Address - Country:US
Mailing Address - Phone:435-615-2261
Mailing Address - Fax:
Practice Address - Street 1:700 BITNER RD
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-5489
Practice Address - Country:US
Practice Address - Phone:435-615-2261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT48595617202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty