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

Sport & Spine Rehab of Sterling

Organization Chiropractor · NPI 1164619706

Sport & Spine Rehab of Sterling is a Chiropractor in Sterling, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
4

Practice location Address checks out

46440 Benedict Dr Ste 106
Sterling, VA 20164-6602
Phone: (240) 766-0300
Fax: (240) 766-0304
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 0104556518 (VA)
Chiropractor Taxonomy 111N00000X · Licence 0104556529 (VA)
Radiology Chiropractor Taxonomy 111NR0200X · Licence 0104556518 (VA)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 0104556529 (VA)

Record details

NPI number1164619706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tawanda Hackley — Manger · (240) 766-0300
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing address11418 Livingston Rd, Ft Washington, MD 20744-5145

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