| Well Performance Institute, Llc | |
|
22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | |
| (787) 469-8230 | |
| Not Available |
| Full Name | Well Performance Institute, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 22611 Markey Ct Ste 105, Sterling, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700650488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Primary |
| Provider Name | Jean Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679211254 PECOS PAC ID: 7618356288 Enrollment ID: I20220628002632 |
| Mailing Address | Practice Location Address |
|---|---|
| Well Performance Institute, Llc 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 Ph: (787) 469-8230 | Well Performance Institute, Llc 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 Ph: (787) 469-8230 |
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