Healthcare Provider Details

I. General information

NPI: 1366525149
Provider Name (Legal Business Name): VARDY CHIROPRACTIC AND WELLNESS CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 WENDELL BLVD
WENDELL NC
27591-6902
US

IV. Provider business mailing address

PO BOX 92
WENDELL NC
27591-0092
US

V. Phone/Fax

Practice location:
  • Phone: 919-366-3111
  • Fax: 919-366-3366
Mailing address:
  • Phone: 919-366-3111
  • Fax: 919-366-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK THOMAS VARDY
Title or Position: OWNER
Credential: D.C.
Phone: 919-366-3111