Provider Demographics
NPI:1710781562
Name:CHIROPRACTICALLY YOURS HEALTH & WELLNESS CLINIC
Entity type:Organization
Organization Name:CHIROPRACTICALLY YOURS HEALTH & WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REGGEALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-850-6632
Mailing Address - Street 1:130 TIBET AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-9030
Mailing Address - Country:US
Mailing Address - Phone:912-850-6632
Mailing Address - Fax:
Practice Address - Street 1:130 TIBET AVE APT 204
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-9030
Practice Address - Country:US
Practice Address - Phone:912-850-6632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1417641036OtherNPPES