Healthcare Provider Details

I. General information

NPI: 1700740412
Provider Name (Legal Business Name): ODYSSEY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3157 ROBERT C BYRD DR
BECKLEY WV
25801-3724
US

IV. Provider business mailing address

3157 ROBERT C BYRD DR
BECKLEY WV
25801-3724
US

V. Phone/Fax

Practice location:
  • Phone: 304-253-3489
  • Fax: 304-253-3148
Mailing address:
  • Phone: 304-253-3489
  • Fax: 304-253-3148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TOD MICHAEL WILLIAMS
Title or Position: OWNER
Credential: DC
Phone: 304-890-0360