Healthcare Provider Details
I. General information
NPI: 1225941495
Provider Name (Legal Business Name): PROOF CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8180 REGENT PKWY STE 104
FORT MILL SC
29715-8423
US
IV. Provider business mailing address
7224 ST CLAIR DR
CHARLOTTE NC
28270-9762
US
V. Phone/Fax
- Phone: 763-219-2139
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
MATHEW
GENNADY
TROPSHA
Title or Position: MEMBER
Credential: DC
Phone: 763-219-2139