Individual provider · Type 1 NPI

Bradley David Wiest

Chiropractor · Charlotte, NC

NPI number 1629395017 Active

Practice location

8912 Blakeney Professional Dr, Suite 100
Charlotte, NC 28277-6660

Mailing address

3533 Arborhill Rd
Charlotte, NC 28270-2273

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4079 (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 1629395017

Bradley David Wiest's National Provider Identifier is 1629395017, issued on Apr 26, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 26, 2010.