Healthcare Provider Details

I. General information

NPI: 1548173412
Provider Name (Legal Business Name): ROOTED CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BUFFALO ST
HAMBURG NY
14075-5045
US

IV. Provider business mailing address

5615 JOHNS TER
HAMBURG NY
14075-7223
US

V. Phone/Fax

Practice location:
  • Phone: 716-374-0456
  • Fax: 716-350-2865
Mailing address:
  • Phone: 716-374-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CLARICE BYRNE
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 716-374-0456