Healthcare Provider Details

I. General information

NPI: 1376880591
Provider Name (Legal Business Name): TRI-COUNTY CHIROPRACTIC OF EXTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E LINCOLN HWY
EXTON PA
19341-2729
US

IV. Provider business mailing address

1954 E HIGH ST
POTTSTOWN PA
19464-9209
US

V. Phone/Fax

Practice location:
  • Phone: 484-879-6968
  • Fax:
Mailing address:
  • Phone: 610-327-8090
  • Fax: 610-327-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CHRISTINE SINNOTT TREACY
Title or Position: OWNER
Credential: DC
Phone: 610-327-8090