Healthcare Provider Details

I. General information

NPI: 1770565368
Provider Name (Legal Business Name): TWIN HILLS CHIROPRACTIC HEALTH CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 06/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2796 LYCOMING MALL DR
MUNCY PA
17756-6466
US

IV. Provider business mailing address

2796 LYCOMING MALL DR
MUNCY PA
17756-6466
US

V. Phone/Fax

Practice location:
  • Phone: 570-546-5454
  • Fax: 570-546-5468
Mailing address:
  • Phone: 570-546-5454
  • Fax: 570-546-5468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOANISE LEIGHOW
Title or Position: OFFICER
Credential:
Phone: 570-546-5454