Provider Demographics
NPI:1609696053
Name:HARTLEY HEALTH AND CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:HARTLEY HEALTH AND CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-398-3467
Mailing Address - Street 1:3257 19TH ST NW STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6797
Mailing Address - Country:US
Mailing Address - Phone:507-292-1800
Mailing Address - Fax:507-292-1804
Practice Address - Street 1:3257 19TH ST NW STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6797
Practice Address - Country:US
Practice Address - Phone:507-292-1800
Practice Address - Fax:507-292-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty