Provider Demographics
NPI:1932911260
Name:HEALTHY EDGE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HEALTHY EDGE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WIPFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-794-8100
Mailing Address - Street 1:46 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1023
Mailing Address - Country:US
Mailing Address - Phone:978-794-8100
Mailing Address - Fax:
Practice Address - Street 1:46 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1023
Practice Address - Country:US
Practice Address - Phone:978-794-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty