Healthcare Provider Details

I. General information

NPI: 1760846992
Provider Name (Legal Business Name): HEALING TOUCH CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 09/15/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 W 7TH ST STE 1001
FREDERICK MD
21701-4128
US

IV. Provider business mailing address

1003 W 7TH ST STE 1001
FREDERICK MD
21701-4128
US

V. Phone/Fax

Practice location:
  • Phone: 301-328-4929
  • Fax: 301-965-8773
Mailing address:
  • Phone: 301-328-4929
  • Fax: 301-965-8738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberS03874
License Number StateMD

VIII. Authorized Official

Name: JEREMY THOMAS CAYER
Title or Position: CHIROPRACTIC EXAMINER
Credential: D.C.
Phone: 301-328-4929