Provider Demographics
NPI:1114182730
Name:BRUS, KATHERINE E (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:E
Last Name:BRUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2890
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9118
Mailing Address - Country:US
Mailing Address - Phone:804-523-8028
Mailing Address - Fax:804-523-8022
Practice Address - Street 1:1500 HUGUENOT RD STE 101
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2478
Practice Address - Country:US
Practice Address - Phone:804-608-3045
Practice Address - Fax:804-767-3565
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor