Provider Demographics
NPI:1518036045
Name:MATTHIS, LEE RHODES (DC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:RHODES
Last Name:MATTHIS
Suffix:
Gender:M
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 1433
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24068-1433
Mailing Address - Country:US
Mailing Address - Phone:540-382-3000
Mailing Address - Fax:540-381-6345
Practice Address - Street 1:2045 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1227
Practice Address - Country:US
Practice Address - Phone:540-382-3000
Practice Address - Fax:540-381-6345
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor