| Foothills Chiropractic Clinic Pc | |
|
101 1st St Nw, Suite 1b, Pulaski, VA 24301-5605 | |
| (336) 648-2725 | |
| Not Available |
| Full Name | Foothills Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 1st St Nw, Pulaski, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356741318 | NPI | - | NPPES |
| VVC826A | Other | VA | PROVIDER PTAN |
| 1396846051 | Other | VA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104555784 (Virginia) | Primary |
| Provider Name | Holly Jolene Welty-miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396846051 PECOS PAC ID: 0143306258 Enrollment ID: I20080328000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Chiropractic Clinic Pc 101 1st St Nw, Suite 1b, Pulaski, VA 24301-5605 Ph: () - | Foothills Chiropractic Clinic Pc 101 1st St Nw, Suite 1b, Pulaski, VA 24301-5605 Ph: (336) 648-2725 |
Holly Jolene Welty-miller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1907 Bob White Blvd, Pulaski, VA 24301 Phone: 540-980-1425 Fax: 540-980-1427 | |
Tuck Clinic Of Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 65 E Main St, Pulaski, VA 24301 Phone: 540-980-8353 |