Organization
SHENANDOAH VALLEY PERFORMANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY MICHAEL RAY DC (CLINIC OWNER)
(540) 217-0429
Entity
Organization
Contact information
Practice address
3211 PEOPLES DR STE 140, HARRISONBURG, VA 22801-7621
(540) 217-0429
Mailing address
3211 PEOPLES DR STE 140, HARRISONBURG, VA 22801-7621
(540) 217-0429
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104-557304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104-557304
LICENSE
VA
01
—
1992161731
NPI
—
Enumeration date
11/02/2017
Last updated
11/02/2017
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