Healthcare Provider Details

I. General information

NPI: 1740161322
Provider Name (Legal Business Name): PINCK 3 MATTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13918 SEATTLE SLEW LN
MIDLOTHIAN VA
23112-1538
US

IV. Provider business mailing address

PO BOX 4093
MIDLOTHIAN VA
23112-0001
US

V. Phone/Fax

Practice location:
  • Phone: 804-944-5695
  • Fax:
Mailing address:
  • Phone: 804-944-5695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRYSTAL LATRESE PINCKNEY
Title or Position: OWNER
Credential: CTRS, C-IAYT
Phone: 804-944-5695