Provider Demographics
NPI:1366246019
Name:PEAKS VIEW CHIROPRACTIC AND ACUPUNCTURE, PLLC
Entity type:Organization
Organization Name:PEAKS VIEW CHIROPRACTIC AND ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:276-613-2729
Mailing Address - Street 1:1239 OAKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-1611
Mailing Address - Country:US
Mailing Address - Phone:276-613-2729
Mailing Address - Fax:
Practice Address - Street 1:1508 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2209
Practice Address - Country:US
Practice Address - Phone:540-583-5749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor