Organization
BOOTHE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL KENNETH BOOTHE DC (VICE PRESIDENT)
(276) 783-7005
Entity
Organization
Contact information
Practice address
642 NORTH MAIN ST, MARION, VA 24354
(276) 783-7005
(276) 783-8080
Mailing address
642 NORTH MAIN ST, MARION, VA 24354
(276) 783-7005
(276) 783-8080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104001760
VA
111N00000X
Chiropractor
0104555931
VA
111N00000X
Chiropractor
Primary
0104556300
VA
Other
Enumeration date
04/10/2006
Last updated
11/14/2007
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