Organization · Type 2 NPI

Hickory Chiropractic and Sports Rehabilitation Center PLC

Chiropractor · Chesapeake, VA

NPI number 1982883450 Active

Practice location

109 Wimbledon Sq Ste D
Chesapeake, VA 23320-4945

Fax (757) 410-9506

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	0104556563 (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.

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NPI record

NPI: 1982883450
Entity type: Organization (Type 2)
Issued: Oct 31, 2007
Last updated: Jun 19, 2024
Status: Active

Other names

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Hickory Chiro and Sports Rehab · doing business as
Hickory Chiropractic · doing business as

Authorized official

Dr. Virginia Ellen Petree, DC
Owner
(757) 410-9550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982883450

Hickory Chiropractic and Sports Rehabilitation Center PLC's National Provider Identifier is 1982883450, issued on Oct 31, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chesapeake, VA. The record was last updated on Jun 19, 2024.