NPI 1013188531

Wallace Chiropractic and Spinal Rehab, LLC

Organisation Chiropractor Lake City, SC

Practice location

Address: 263 Kelley St Suite 100, Lake City, SC 29560-2472
Phone: (843) 394-8274
Fax: (843) 394-1604
Mailing address: 263 Kelley St STE 100, Lake City, SC 29560-2472

Authorised official

Name: Crystal Knight
Title: Ca
Phone: (843) 394-8274

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1873 (SC)

Other Chiropractor providers in South Carolina →

Registry record

NPI: 1013188531
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 20 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.