Provider Demographics
NPI:1538722269
Name:GROUNDED HEALTH CHIROPRACTIC LLC
Entity type:Organization
Organization Name:GROUNDED HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNG HO
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-575-9982
Mailing Address - Street 1:522 N NEW BALLAS RD STE 121
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6820
Mailing Address - Country:US
Mailing Address - Phone:636-575-9982
Mailing Address - Fax:
Practice Address - Street 1:522 N NEW BALLAS RD STE 121
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6820
Practice Address - Country:US
Practice Address - Phone:636-575-9982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center