Healthcare Provider Details

I. General information

NPI: 1518108869
Provider Name (Legal Business Name): STORY CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 03/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24245 DEER RUN RD
COURTLAND VA
23837-2215
US

IV. Provider business mailing address

PO BOX 1719
MANTEO NC
27954-1719
US

V. Phone/Fax

Practice location:
  • Phone: 919-564-6659
  • Fax:
Mailing address:
  • Phone: 919-564-6659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANNA MARIA STORY
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 919-564-6659