Provider Demographics
NPI:1922597848
Name:TRADEWINDS CHIROPRACTIC
Entity Type:Organization
Organization Name:TRADEWINDS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:340-690-4994
Mailing Address - Street 1:PARAGON MEDICAL BUILDING
Mailing Address - Street 2:9149 ESTATE THOMAS, STE. 203
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-690-4994
Mailing Address - Fax:
Practice Address - Street 1:PARAGON MEDICAL BUILDING
Practice Address - Street 2:9149 ESTATE THOMAS, STE. 203
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-690-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty