SOUTHERN TRACE CHIROPRACTIC AND MASSAGE CENTER PA
NPI 1790005569
Chiropractor in The Villages, FL

Active since June 03, 2010
11834 COUNTY ROAD 101, SUITE 202, THE VILLAGES, FL 32162(352) 205-8500(352) 205-8603 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Trace Chiropractic And Massage Center Pa NPPES

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

SOUTHERN TRACE CHIROPRACTIC AND MASSAGE CENTER PA (NPI 1790005569) is a healthcare organization registered as a chiropractor in The Villages, Florida and active in the NPI registry since June 2010. The organization lists Michelle Marie Zielecki, Pres, as its authorized official.

NPPES Registry Identity

NPI1790005569
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN TRACE CHIROPRACTIC AND MASSAGE CENTER PA
Location Address11834 COUNTY ROAD 101, SUITE 202The Villages, FL 32162-9340
Mailing AddressPo Box 507Belleview, FL 34421-0507 · (352) 205-8500 · Fax (352) 205-8603
Fax(352) 205-8603
Organization SubpartNo
Authorized OfficialMichelle Marie ZieleckiPres · (352) 205-8500
Enumeration DateJune 3, 2010
Last NPPES UpdateOctober 30, 2014
NPI 1790005569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH 7914
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.
11834 COUNTY ROAD 101, The Villages, FL 32162

Other Identifiers 3

Other000V2FL · Bcbs
OtherDS0741FL · Rr Medicare
Medicare UPINEF098AFL

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 10

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

Podiatrist (Foot & Ankle Surgery)
11834 COUNTY ROAD 101, SUITE 203
LADY LAKE, FL 32162
Podiatrist (Foot & Ankle Surgery)
11834 COUNTY ROAD 101, SUITE 203
LADY LAKE, FL 32162
Specialist
11834 COUNTY ROAD 101, SUITE 202
THE VILLAGES, FL 32162
Optometrist
11834 COUNTY ROAD 101
THE VILLAGES, FL 32162
Chiropractor
11834 COUNTY ROAD 101, SUITE 202
THE VILLAGES, FL 32162
Specialist
11834 COUNTY ROAD 101, SUITE 202
THE VILLAGES, FL 32162
Optometrist
11834 COUNTY ROAD 101
THE VILLAGES, FL 32162
Family Medicine
11834 COUNTY ROAD 101
THE VILLAGES, FL 32162

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 Southern Trace Chiropractic And Massage Center PA's NPI number?

The NPI number for Southern Trace Chiropractic And Massage Center PA is 1790005569. It was assigned to this organization in the NPPES registry on June 3, 2010.

Where is Southern Trace Chiropractic And Massage Center PA located?

Southern Trace Chiropractic And Massage Center PA is located at 11834 County Road 101 Suite 202, The Villages, FL 32162. The listed phone number is (352) 205-8500.

What is Southern Trace Chiropractic And Massage Center PA'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 Southern Trace Chiropractic And Massage Center PA was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.