# COLONIAL CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134322415
- **Authorized official:** DR. KRISTEN M TEAGLE DC (PRESIDENT)
- **Authorized official phone:** (757) 258-4500

## Contact information

- **Practice address:** 120 KINGS WAY, SUITE 2100, WILLIAMSBURG, VA 23185-2505
- **Practice address phone:** (757) 258-4500
- **Mailing address:** 120 KINGS WAY, SUITE 2100, WILLIAMSBURG, VA 23185-2505
- **Mailing address phone:** (757) 258-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104001787 | VA | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215087598 | NPI DR. KRISTEN M TEAGLE | VA |