EVERGREEN WELLNESS STUDIOS
NPI 1629476726
Chiropractor in Meridian, ID

Active since December 05, 2014
1640 W CHERRY LN, #130, MERIDIAN, ID 83642(208) 895-8595 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Wellness Studios NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN WELLNESS STUDIOS (NPI 1629476726) is a healthcare organization registered as a chiropractor in Meridian, Idaho and active in the NPI registry since December 2014. The organization lists Spencer Dean Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1629476726
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBALANCED LIFE CHIROPRACTIC
Location Address1640 W CHERRY LN, #130Meridian, ID 83642-8187
Mailing Address1640 W Cherry Ln, #130Meridian, ID 83642-8187 · (208) 895-8595
Organization SubpartNo
Authorized OfficialSpencer Dean HendersonOwner · (208) 293-7150
Enumeration DateDecember 5, 2014
NPI 1629476726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA-1288
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1640 W CHERRY LN, Meridian, ID 83642

Other Names 1

Doing Business AsEvergreen Wellness Studios

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1640 W CHERRY LN, STE 120
MERIDIAN, ID 83642
Exclusive Provider Organization
1640 W CHERRY LN, SUITE 130
MERIDIAN, ID 83642
Chiropractor
1640 W CHERRY LN, 130
MERIDIAN, ID 83642
Chiropractor
1640 W CHERRY LN, SUITE 130
MERIDIAN, ID 83642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balanced Life Chiropractic's NPI number?

The NPI number for Balanced Life Chiropractic is 1629476726. It was assigned to this organization in the NPPES registry on December 5, 2014. The provider is doing business as Evergreen Wellness Studios.

Where is Balanced Life Chiropractic located?

Balanced Life Chiropractic is located at 1640 W Cherry Ln #130, Meridian, ID 83642. The listed phone number is (208) 895-8595.

What is Balanced Life Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Balanced Life Chiropractic was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.