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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104556853 (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.