Healthcare Provider Details

I. General information

NPI: 1467381673
Provider Name (Legal Business Name): RELIEF CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6376 SILO SQUARE LN STE 105
SOUTHAVEN MS
38672-1115
US

IV. Provider business mailing address

6376 SILO SQUARE LN STE 105
SOUTHAVEN MS
38672-1115
US

V. Phone/Fax

Practice location:
  • Phone: 662-222-1070
  • Fax: 662-222-1080
Mailing address:
  • Phone: 662-222-1070
  • Fax: 662-222-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: VICTOR ROBINSON
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 662-222-1070