Provider Demographics
NPI:1144843707
Name:BOUNDLESS CHIROPRACTIC
Entity type:Organization
Organization Name:BOUNDLESS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BELNAP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-665-4542
Mailing Address - Street 1:1450 W HORIZON RIDGE PKWY STE A501
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4478
Mailing Address - Country:US
Mailing Address - Phone:702-665-4542
Mailing Address - Fax:
Practice Address - Street 1:1450 W HORIZON RIDGE PKWY STE A501
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4478
Practice Address - Country:US
Practice Address - Phone:702-665-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty