Provider Demographics
NPI:1770070930
Name:STRAND, ROIKETA MARI (DC)
Entity type:Individual
Prefix:
First Name:ROIKETA
Middle Name:MARI
Last Name:STRAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S WHITING ST
Mailing Address - Street 2:STE 207
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3416
Mailing Address - Country:US
Mailing Address - Phone:706-306-4548
Mailing Address - Fax:
Practice Address - Street 1:101 S WHITING ST
Practice Address - Street 2:STE 207
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:706-306-4548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor