MEDICARE: DR. CHESTEN CANTRELL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019018952	VA
2	111N00000X	Chiropractor	0104557150	VA

General Provider Information

NPI Number	:	1568880938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHESTEN CANTRELL DC

Provider Business Mailing Address
First Line	:	1570 SCUFFLING HILL RD
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-6430
Country	:	US
Telephone Number	:	540-243-9137
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 S MAIN ST
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-1745
Country	:	US
Telephone Number	:	540-243-9137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	08/01/2025

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Directions to “ DR. CHESTEN CANTRELL DC” Practice Location

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