Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chiropractic Spine Center IV

Organization Rehabilitation Chiropractor · NPI 1063469740

Chiropractic Spine Center IV is a Rehabilitation Chiropractor in Wayne, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

744 W Lancaster Ave Ste 105
Wayne, PA 19087-2523
Phone: (610) 254-8200
Fax: (610) 254-8263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence DC007347L (PA)
Physical Therapist Taxonomy 225100000X · Licence AJ-007347-L (PA)

Record details

NPI number1063469740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Glazer — President · (610) 254-8200
NPI enumeratedMay 28, 2006
Last updated in NPPESJune 14, 2016
Mailing address744 W Lancaster Ave, Suite 105, Wayne, PA 19087-2523