1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Chiropractor
  6. NPI Profile

DIRTY BOOTS LLC
NPI 1780041830
Chiropractor in Marietta, GA

Active since January 20, 2016
252 HICKS DR SE, MARIETTA, GA 30060(515) 422-0171 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dirty Boots Llc NPPES

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

DIRTY BOOTS LLC (NPI 1780041830) is a healthcare organization registered as a chiropractor in Marietta, Georgia and active in the NPI registry since January 2016. The organization lists Marissa Hols, Owner, as its authorized official.

NPPES Registry Identity

NPI1780041830
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDIRTY BOOTS LLC
Location Address252 HICKS DR SEMarietta, GA 30060-3408
Mailing Address252 Hicks Dr SeMarietta, GA 30060-3408
Phone(515) 422-0171
Organization SubpartNo
Authorized OfficialMarissa HolsOwner · (515) 422-0171
Enumeration DateJanuary 20, 2016
✔ NPI 1780041830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR009627
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.
252 HICKS DR SE, Marietta, GA 30060
Open in Google Maps ↗

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

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 Dirty Boots LLC's NPI number?

The NPI number for Dirty Boots LLC is 1780041830. It was assigned to this organization in the NPPES registry on January 20, 2016.

Where is Dirty Boots LLC located?

Dirty Boots LLC is located at 252 Hicks Dr SE, Marietta, GA 30060. The listed phone number is (515) 422-0171.

What is Dirty Boots LLC'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 Dirty Boots LLC was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.