Provider Demographics
NPI:1447351440
Name:HEALING HANDS CHIROPRACTIC & MASSAGE, LLC
Entity type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC & MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-886-9355
Mailing Address - Street 1:3213 S CAMPBELL AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4912
Mailing Address - Country:US
Mailing Address - Phone:417-886-9355
Mailing Address - Fax:417-886-9366
Practice Address - Street 1:3213 S CAMPBELL AVE STE E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4912
Practice Address - Country:US
Practice Address - Phone:417-886-9355
Practice Address - Fax:417-886-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO142992OtherBLUE CROSS/ BL SHILD ID #
MO664453OtherACN & UNITED HEALTHCARE
MO469849OtherHEALTHLINK ID #
MO664453OtherACN & UNITED HEALTHCARE