Bodyworx Health Studio LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8203 Issued in AZ

Legal business name

BODYWORX HEALTH STUDIO LLC

Practice address

13291 W McDowell Rd Ste E4
Goodyear, AZ 85395-2634

Phone

(623) 218-6676

NPI assigned

Sep 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Hamblin Healey, D.C.

Title

Clinical Director

Phone

(602) 710-6050

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1699100586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORX HEALTH STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "HAMBLIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-710-6050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1578844874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Marie Blaesing, OTR/L
• Randy Bland
• Randall J Blazic, DDS MD
• Blessing Care
• Alexander Bocchi, DPT
• Carolyn Marie Boehmer
• Anthony B. Bolden, PA-C
• Amanda Bonano
• Jamie Bone
• Brennan Bonnett

• All providers in Goodyear, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.