# TUCK CHIROPRACTIC CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUCK CHIROPRACTIC CORPORATION
- **Other names:** Tuck WorkWell
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578155610
- **Legal business name:** TUCK CHIROPRACTIC CORPORATION
- **Authorized official:** HANNAH SHELTON (BILLING SUPERVISOR)
- **Authorized official phone:** (540) 951-6900

## Contact information

- **Practice address:** 872 LEE HWY, ROANOKE, VA 24019-8691
- **Practice address phone:** (540) 966-6485
- **Mailing address:** 620 N MAIN ST STE 202, BLACKSBURG, VA 24060-3385
- **Mailing address phone:** (540) 951-6900
- **Mailing address fax:** (540) 951-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 12/12/2024