Healthcare Provider Details

I. General information

NPI: 1124545181
Provider Name (Legal Business Name): CHAD RYAN HANDLEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 WOODLAND RD
HAMPTON VA
23663-2148
US

IV. Provider business mailing address

183 WOODLAND RD
HAMPTON VA
23663-2148
US

V. Phone/Fax

Practice location:
  • Phone: 757-723-1899
  • Fax: 757-723-8669
Mailing address:
  • Phone: 757-723-1899
  • Fax: 757-723-8669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2017031028
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104558191
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: