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SHADY GROVE CHIROPRACTIC, LLC
NPI 1295055283
Chiropractor in Irmo, SC

Active since June 02, 2010
11134 BROAD RIVER RD STE C, IRMO, SC 29063(803) 781-0031(803) 781-0032 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Grove Chiropractic, Llc NPPES

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

SHADY GROVE CHIROPRACTIC, LLC (NPI 1295055283) is a healthcare organization registered as a chiropractor in Irmo, South Carolina and active in the NPI registry since June 2010. The organization lists Jeffery Dale Touchet, President, as its authorized official.

NPPES Registry Identity

NPI1295055283
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHADY GROVE CHIROPRACTIC, LLC
Location Address11134 BROAD RIVER RD STE CIrmo, SC 29063-7616
Mailing AddressPo Box 184Ballentine, SC 29002-0184
Phone(803) 781-0031
Fax(803) 781-0032
Organization SubpartNo
Authorized OfficialJeffery Dale TouchetPresident · (803) 781-0031
Enumeration DateJune 2, 2010
✔ NPI 1295055283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2611
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.
11134 BROAD RIVER RD STE C, Irmo, SC 29063
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Other Identifiers 1

Medicare UPINU950587598SC

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

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 Shady Grove Chiropractic, LLC's NPI number?

The NPI number for Shady Grove Chiropractic, LLC is 1295055283. It was assigned to this organization in the NPPES registry on June 2, 2010.

Where is Shady Grove Chiropractic, LLC located?

Shady Grove Chiropractic, LLC is located at 11134 Broad River Rd Ste C, Irmo, SC 29063. The listed phone number is (803) 781-0031.

What is Shady Grove Chiropractic, 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 Shady Grove Chiropractic, LLC was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.