Provider Demographics
NPI:1598234528
Name:POW-HER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:POW-HER CHIROPRACTIC LLC
Other - Org Name:POW HER CHIROPRACTIC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE-POW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-379-2843
Mailing Address - Street 1:4 TAFT CT STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5310
Mailing Address - Country:US
Mailing Address - Phone:301-279-9009
Mailing Address - Fax:301-279-9008
Practice Address - Street 1:4 TAFT CT STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5310
Practice Address - Country:US
Practice Address - Phone:301-279-9009
Practice Address - Fax:301-279-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDX726-0001OtherBLUE CROSS