Organization
KEATS FAMILY & SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JACK DC (SOLE OWNER)
(540) 230-2554
Entity
Organization
Contact information
Practice address
1999 S MAIN ST STE 303, BLACKSBURG, VA 24060-6601
(540) 739-3833
Mailing address
1999 S MAIN ST STE 303, BLACKSBURG, VA 24060-6601
(540) 739-3833
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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