Organization
COLONIAL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN M TEAGLE DC (PRESIDENT)
(757) 258-4500
Entity
Organization
Contact information
Practice address
120 KINGS WAY, SUITE 2100, WILLIAMSBURG, VA 23185-2505
(757) 258-4500
Mailing address
120 KINGS WAY, SUITE 2100, WILLIAMSBURG, VA 23185-2505
(757) 258-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215087598
NPI DR. KRISTEN M TEAGLE
VA
Enumeration date
06/06/2007
Last updated
08/22/2020
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