Provider Demographics
NPI:1295274439
Name:HEALING TOUCH CHIROPRACTIC & WELLNESS INC
Entity type:Organization
Organization Name:HEALING TOUCH CHIROPRACTIC & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:SEVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-483-4344
Mailing Address - Street 1:920 TANYARD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1524
Mailing Address - Country:US
Mailing Address - Phone:540-483-4344
Mailing Address - Fax:184-472-6986
Practice Address - Street 1:920 TANYARD RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1524
Practice Address - Country:US
Practice Address - Phone:540-483-4344
Practice Address - Fax:184-472-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty