Virginia Sport & Spine Institute LLC
Organization Active NPI Chiropractor · Forest, VA
NPI 1902396054 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1902396054
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104556303 (VA)
- Legal business name
- VIRGINIA SPORT & SPINE INSTITUTE LLC
- Practice address
- 2203 Graves Mill Rd Ste a
Forest, VA 24551 - Phone
- (434) 851-0091
- NPI assigned
- May 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Lowes, DC
- Title
- President
- Phone
- (434) 851-0091
Practitioners 9
-
David Coleman Wilson, M.D.
-
Austin H. Bennett, DPT
-
Allison Lindsey Howell, PT, DPT, SCS, CSCS
-
Kaitlin Patricia Lefevre, PT, DPT, CSCS
-
Austin Pierpont, PT, DPT
-
Audrey Jean Furnas, PA-C
National Provider Directory
Locations
2011 Enterprise Dr
Forest, VA 24551
Phone (434) 851-0091
2203 Graves Mill Rd
Ste A
Forest, VA 24551
Phone (434) 385-1982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 0104556303 | VA | Yes |
Addresses
Primary practice location
2203 Graves Mill Rd Ste a
Forest, VA 24551
Mailing address
PO Box 1128
Forest, VA 24551-5128
Phone (434) 851-0091
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104556303 | Other | VA | STATE LICENSE |
| S5931580 | Other | VA | STATE CORPORATION COMMISSION |
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.