JERIKA PA NPI 1861692576

NPI Information

  • NPI: 1861692576
  • Provider Name: JERIKA PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: BODY TUNE-UP
  • Address: 466 MID CITIES BLVD
    HURST, TX
    ZIP 76054
  • Phone: (817) 281-9040

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NPI Details

JERIKA PA is a chiropractor in Hurst, TX. The provider is 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. JERIKA PA NPI is 1861692576. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Body Tune-up.

The provider's business location address is:

466 MID CITIES BLVD
HURST, TX
ZIP 76054-430
Phone: (817) 281-9040
Fax: (817) 281-4249

The provider's authorized official is Jessica Stangenwald Wilson .
The authorized official title is President and has the following contact phone number (817) 281-9040.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor10088TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V07084MEDICARE UPINTEXAS
28F1514MEDICARE PINTEXAS
300704ZOTHERTEXASMEDICARE, GROUP BILLING N

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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