Healthcare Provider Details

I. General information

NPI: 1982522439
Provider Name (Legal Business Name): TOTAL CHIROPRACTIC INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 EXTON CMNS
EXTON PA
19341-2446
US

IV. Provider business mailing address

1114 VERMONT LN
DOWNINGTOWN PA
19335-3813
US

V. Phone/Fax

Practice location:
  • Phone: 610-937-7256
  • Fax:
Mailing address:
  • Phone: 610-937-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. VINCENT JAMES ANGELINI III
Title or Position: OWNER
Credential: DC
Phone: 610-937-7256