Provider Demographics
NPI:1972834265
Name:TRIPS CHIROPRACTIC
Entity Type:Organization
Organization Name:TRIPS CHIROPRACTIC
Other - Org Name:BERRY MASSAGE THERAPY AND CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:TRIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-899-9088
Mailing Address - Street 1:1179 ARANT ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4309
Mailing Address - Country:US
Mailing Address - Phone:843-475-3964
Mailing Address - Fax:
Practice Address - Street 1:202 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3785
Practice Address - Country:US
Practice Address - Phone:843-899-9088
Practice Address - Fax:843-899-9088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERRY MASSAGE THERAPY AND CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty