Organization
ROCK CITY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYGUE A ARVIDSON D.C. (PARTNER)
(517) 215-2243
Entity
Organization
Contact information
Practice address
5302 YACHT HAVEN GRANDE, SUITE 100, ST THOMAS, VI 00802-5004
(340) 998-7357
Mailing address
5302 YACHT HAVEN GRANDE, UNIT 49, ST THOMAS, VI 00802-5004
(340) 998-7357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
68
VI
111N00000X
Chiropractor
72
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598171571
INDIVIDUAL NPI
VI
01
—
1801243647
INDIVIDUAL NPI
VI
Enumeration date
06/18/2016
Last updated
08/18/2016
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