Individual provider · Type 1 NPI
Timothy De Villa Manglicmot, DC
Chiropractor · Charlotte, NC
NPI number
1366208100
Active
Practice location
1636 Sardis Rd N Ste 130
Charlotte, NC 28270-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5728 (NC) |
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.
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About NPI 1366208100
Timothy De Villa Manglicmot, DC's National Provider Identifier is 1366208100, issued on Feb 27, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 27, 2024.