Organization · Type 2 NPI

Sport and Wellness Chiropractic

Chiropractor · Annandale, VA

NPI number 1124320163 Active

Practice location

5105 Backlick Rd, Suite A
Annandale, VA 22003-6005

Mailing address

5105A Backlick Rd, Suite A
Annandale, VA 22003-6005

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X0104556853 (VA)

Chiropractor: 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.

2 other providers at this address

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About NPI 1124320163

Sport and Wellness Chiropractic's National Provider Identifier is 1124320163, issued on Nov 24, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Annandale, VA. The record was last updated on Nov 24, 2010.