Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clean Colonic LLC

Organization Public Health or Welfare Agency · NPI 1609226364

Clean Colonic LLC is a Public Health or Welfare Agency in Tempe, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7560 S Willow Dr
Tempe, AZ 85283
Phone: (952) 994-3554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1609226364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Berry — Colon Hydrotherapist · (480) 269-5575
NPI enumeratedJune 14, 2016
Last updated in NPPESJanuary 19, 2017
Mailing address7560 S Willow Dr, Tempe, AZ 85283-5004

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