Provider Demographics
NPI:1861033292
Name:JOYFUL ROOTS CHIROPRACTIC
Entity Type:Organization
Organization Name:JOYFUL ROOTS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-402-9696
Mailing Address - Street 1:652 W WATERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-3640
Mailing Address - Country:US
Mailing Address - Phone:517-402-9696
Mailing Address - Fax:
Practice Address - Street 1:652 W WATERSVILLE RD
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-3640
Practice Address - Country:US
Practice Address - Phone:517-402-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty