Provider Demographics
NPI:1427869312
Name:INNERBLOOM CHIROPRACTIC
Entity type:Organization
Organization Name:INNERBLOOM CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWSLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-630-5638
Mailing Address - Street 1:2655 MARITIME LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2435
Mailing Address - Country:US
Mailing Address - Phone:509-630-5638
Mailing Address - Fax:
Practice Address - Street 1:615 E 82ND AVE STE 103
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3100
Practice Address - Country:US
Practice Address - Phone:907-560-5733
Practice Address - Fax:907-802-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center