Healthcare Provider Details

I. General information

NPI: 1437074465
Provider Name (Legal Business Name): VITAL FLOW CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3861B STEPPES CT
FALLS CHURCH VA
22041-3636
US

IV. Provider business mailing address

3861B STEPPES CT
FALLS CHURCH VA
22041-3636
US

V. Phone/Fax

Practice location:
  • Phone: 404-457-4263
  • Fax:
Mailing address:
  • Phone: 404-457-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: IARA LUCIA MORAN
Title or Position: OWNER
Credential: DC
Phone: 404-457-4263