Provider Demographics
NPI:1205849072
Name:BETTER BODIES CHIROPRACTIC, P. C.
Entity Type:Organization
Organization Name:BETTER BODIES CHIROPRACTIC, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:FODDRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-330-9830
Mailing Address - Street 1:8710 CHOCTAW RD
Mailing Address - Street 2:SUITE E-4
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3472
Mailing Address - Country:US
Mailing Address - Phone:804-330-9830
Mailing Address - Fax:804-421-0869
Practice Address - Street 1:8710 CHOCTAW RD
Practice Address - Street 2:SUITE E-4
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-3472
Practice Address - Country:US
Practice Address - Phone:804-330-9830
Practice Address - Fax:804-421-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty