Provider Demographics
NPI:1801432018
Name:TOTAL REHABILITATION AND CHIROPRACTIC
Entity type:Organization
Organization Name:TOTAL REHABILITATION AND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANSCOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-546-2777
Mailing Address - Street 1:117 STATE ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-7004
Mailing Address - Country:US
Mailing Address - Phone:304-546-2777
Mailing Address - Fax:304-760-1189
Practice Address - Street 1:3761 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9705
Practice Address - Country:US
Practice Address - Phone:304-760-2777
Practice Address - Fax:304-760-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation