Provider Demographics
NPI:1942089040
Name:PERFECT HEALTH LLC
Entity Type:Organization
Organization Name:PERFECT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-234-0873
Mailing Address - Street 1:1675 E SEMINOLE ST STE H
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2490
Mailing Address - Country:US
Mailing Address - Phone:417-881-2295
Mailing Address - Fax:417-881-4282
Practice Address - Street 1:1675 E SEMINOLE ST STE H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2490
Practice Address - Country:US
Practice Address - Phone:417-881-2295
Practice Address - Fax:417-881-4282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty