Provider Demographics
NPI:1588143929
Name:DR NADINE'S BODYMOVES CHIROPRACTIC INC
Entity type:Organization
Organization Name:DR NADINE'S BODYMOVES CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-295-6087
Mailing Address - Street 1:150 NELLEN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1197
Mailing Address - Country:US
Mailing Address - Phone:415-295-6087
Mailing Address - Fax:415-927-4720
Practice Address - Street 1:45 SAN CLEMENTE DR STE B220
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-3311
Practice Address - Country:US
Practice Address - Phone:415-295-6087
Practice Address - Fax:510-284-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center