WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC
NPI 1013188531
Chiropractor in Lake City, SC

Q: What is Wallace Chiropractic And Spinal Rehab, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since March 13, 2008

263 KELLEY ST, SUITE 100, LAKE CITY, SC 29560(843) 394-8274(843) 394-1604 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Wallace Chiropractic And Spinal Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC (NPI 1013188531) is a healthcare organization registered as a chiropractor in Lake City, South Carolina and active in the NPI registry since March 2008. The organization lists Crystal Knight, Ca, as its authorized official.

NPPES Registry Identity

NPI1013188531

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameWALLACE CHIROPRACTIC AND SPINAL REHAB, LLC

Location Address263 KELLEY ST, SUITE 100Lake City, SC 29560-2472

Mailing Address263 Kelley St Ste 100Lake City, SC 29560-2472 · (843) 394-8274 · Fax (843) 394-1604

Phone(843) 394-8274

Fax(843) 394-1604

Organization SubpartNo

Authorized OfficialCrystal KnightCa · (843) 394-8274

Enumeration DateMarch 13, 2008

Last NPPES UpdateJune 20, 2013

✔ NPI 1013188531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 1873

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

263 KELLEY ST, Lake City, SC 29560

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Other Identifiers 2

Medicare NSC6481000001SC

MedicaidGCH113SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYRONE D WALLACE DC

Chiropractor

263 KELLEY ST, STE 100
LAKE CITY, SC 29560

Florence County (843) 394-8274

PRIMECARE OF THE LOWER PEE DEE LLC

Chiropractor

263 KELLEY ST, STE 100
LAKE CITY, SC 29560

Florence County (843) 394-8274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Chiropractic And Spinal Rehab, LLC's NPI number?

The NPI number for Wallace Chiropractic And Spinal Rehab, LLC is 1013188531. It was assigned to this organization in the NPPES registry on March 13, 2008.

Where is Wallace Chiropractic And Spinal Rehab, LLC located?

Wallace Chiropractic And Spinal Rehab, LLC is located at 263 Kelley St Suite 100, Lake City, SC 29560. The listed phone number is (843) 394-8274.

What is Wallace Chiropractic And Spinal Rehab, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wallace Chiropractic And Spinal Rehab, LLC was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.