Healthcare Provider Details

I. General information

NPI: 1578631594
Provider Name (Legal Business Name): RALPH L. LOVE D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 KINGS MOUNTAIN RD
COLLINSVILLE VA
24078-1828
US

IV. Provider business mailing address

5140 KINGS MOUNTAIN RD
COLLINSVILLE VA
24078-1828
US

V. Phone/Fax

Practice location:
  • Phone: 276-647-3728
  • Fax: 276-647-3739
Mailing address:
  • Phone: 276-647-3728
  • Fax: 276-647-3739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DON TYLER HANDLY
Title or Position: PHYSICIAN
Credential: D.C.
Phone: 276-647-3728