Provider Demographics
NPI:1700254083
Name:HEALTH BY DESIGN PLLC
Entity Type:Organization
Organization Name:HEALTH BY DESIGN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:BOLES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-393-1550
Mailing Address - Street 1:1564 CC RD.
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139
Mailing Address - Country:US
Mailing Address - Phone:828-393-1550
Mailing Address - Fax:888-970-1470
Practice Address - Street 1:1564 C C RD
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-5003
Practice Address - Country:US
Practice Address - Phone:843-307-8782
Practice Address - Fax:888-970-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty