Organization · Type 2 NPI
Masterpeace Chiropractic Center, P.c.
Chiropractor · Lake Ridge, VA
NPI number
1700079092
Active
Practice location
3302 Old Bridge Rd, Suite Gh
Lake Ridge, VA 22192-5262
Fax (703) 491-6370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104000675 (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.
Another provider at this address
About NPI 1700079092
Masterpeace Chiropractic Center, P.c.'s National Provider Identifier is 1700079092, issued on Aug 21, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Ridge, VA. The record was last updated on Aug 21, 2007.