Organization
PEAK PERFORMANCE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TODD HICKS D.C. (PRESIDENT)
(540) 552-3671
Entity
Organization
Contact information
Practice address
1999 S MAIN ST, SUITE 305-A, BLACKSBURG, VA 24060-6634
(540) 552-3671
(540) 552-3741
Mailing address
1999 S MAIN ST, SUITE 305-A, BLACKSBURG, VA 24060-6634
(540) 552-3671
(540) 552-3741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556394
VA
Other
Enumeration date
08/28/2006
Last updated
06/17/2008
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