Healthcare Provider Details

I. General information

NPI: 1033430921
Provider Name (Legal Business Name): JOHN C THEECK DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 LAUREL MANOR DR SUITE 204
THE VILLAGES FL
32162-5603
US

IV. Provider business mailing address

1950 LAUREL MANOR DR SUITE 204
THE VILLAGES FL
32162-5603
US

V. Phone/Fax

Practice location:
  • Phone: 352-259-0024
  • Fax:
Mailing address:
  • Phone: 352-259-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9808
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN C THEECK
Title or Position: OWNER
Credential: D.C.
Phone: 734-775-2068