Healthcare Provider Details

I. General information

NPI: 1245936285
Provider Name (Legal Business Name): VALLEY CHIROPRACTIC AND PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 FARMS VILLAGE RD UNIT L
WEST SIMSBURY CT
06092-2407
US

IV. Provider business mailing address

244 FARMS VILLAGE RD UNIT L
WEST SIMSBURY CT
06092-2407
US

V. Phone/Fax

Practice location:
  • Phone: 860-413-2727
  • Fax: 860-413-2730
Mailing address:
  • Phone: 860-413-2727
  • Fax: 860-413-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRETT INLOW
Title or Position: OWNER
Credential: DC
Phone: 860-413-2727