| NPI | 1952476244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KYLE SHACKELFORD Owner Pres 540-334-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001567) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |