Provider Demographics
NPI:1861266900
Name:WHOLE BODY HEALTH LLC
Entity type:Organization
Organization Name:WHOLE BODY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:GLEAVES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-405-4172
Mailing Address - Street 1:28 E AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-3094
Mailing Address - Country:US
Mailing Address - Phone:541-405-4172
Mailing Address - Fax:541-405-4086
Practice Address - Street 1:28 E AIRPORT RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3094
Practice Address - Country:US
Practice Address - Phone:541-405-4172
Practice Address - Fax:541-405-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty