Organization Active NPI

Health S T R E T C H

  • Chiropractor
  • Moline, IL
National Provider Identifier
1750525523
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011222 Issued in IL
Legal business name
HEALTH S T R E T C H
Practice address
719 16TH St
Moline, IL 61265-2123
Phone
(309) 797-4788
Fax
(309) 797-4788
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Cheryl Blahnik-Moton, DC
Title
Chiropractor
Phone
(309) 797-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011222 IL Primary

Addresses

Primary practice location

719 16TH St
Moline, IL 61265-2123

Mailing address

719 16TH St
Moline, IL 61265-2123
Phone (309) 797-4788

National Provider Directory

National Provider Directory

Locations

719 16th St
Moline, IL 61265
Phone (309) 797-4788

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1750525523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652123",
            "telephone_number": "309-797-4788",
            "fax_number": "309-797-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652123",
            "telephone_number": "309-797-4788",
            "fax_number": "309-797-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH S T R E T C H",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "BLAHNIK-MOTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "309-797-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.