# VIRGINIA SPORTS THERAPY

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

## Provider details

- **NPI number:** 1134751399
- **Authorized official:** NATHAN CRAIN DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (412) 999-8380

## Contact information

- **Practice address:** 44330 PREMIER PLZ STE 110, ASHBURN, VA 20147-5071
- **Practice address phone:** (703) 723-9355
- **Practice address fax:** (888) 972-7952
- **Mailing address:** 44330 PREMIER PLZ STE 110, ASHBURN, VA 20147-5071
- **Mailing address phone:** (703) 723-9355
- **Mailing address fax:** (888) 972-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020
