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

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: July 19, 2026.

  • Organization
  • Chiropractor

About WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC

This page provides the complete NPI Profile along with additional information for Wallace Chiropractic And Spinal Rehab, Llc, a provider established in Lake City, South Carolina operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1013188531 assigned on March 2008. The practitioner's primary taxonomy code is 111N00000X with license number 1873 (SC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Crystal Knight (Ca)

NPI
1013188531 Verify this NPI
Provider Name
WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC
Entity Type
Organization
Location Address
263 KELLEY ST SUITE 100 LAKE CITY, SC 29560
Location Phone
(843) 394-8274
Location Fax
(843) 394-1604
Mailing Address
263 KELLEY ST STE 100 LAKE CITY, SC 29560
Mailing Phone
(843) 394-8274
Mailing Fax
(843) 394-1604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2008
Last Update Date
06-20-2013
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A chiropractor like Wallace Chiropractic And Spinal Rehab, Llc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
1873
License State
SC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL KNIGHT

Authorized Official Title
CA
Authorized Official Phone
(843) 394-8274

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6481000001MEDICARE NSC (07)SC 
GCH113MEDICAID (05)SC 

Reviews for WALLACE CHIROPRACTIC AND SPINAL REHAB, LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
263 KELLEY ST, STE 100
LAKE CITY, SC 29560
Chiropractor
263 KELLEY ST, STE 100
LAKE CITY, SC 29560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013188531, enumerated as an "organization" on March 13, 2008.

The provider is located at 263 KELLEY ST SUITE 100 LAKE CITY, SC 29560 and the phone number is (843) 394-8274.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.