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

Dr. Timothy De Villa Manglicmot, DC

Individual provider Chiropractor · NPI 1366208100

Dr. Timothy De Villa Manglicmot, DC is a Chiropractor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1636 Sardis Rd N Ste 130
Charlotte, NC 28270-2411
Phone: (980) 245-2852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5728 (NC)

Record details

NPI number1366208100
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

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