Gravity Spine LLC

NPI #1265069900 in Herndon, Virginia

Provider Information

NPI Number: 1265069900
Entity Type: Organization
Organization Name: Gravity Spine LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 24, 2020
Last Updated: Mar 24, 2020

Practice Location

Address: 209 ELDEN ST STE 302
City: Herndon
State: Virginia
ZIP Code: 20170-4847
Phone: (703) 520-9980

Authorized Official

Name: DR. KYUNG JAE LEE, DC
Title: OWNER/ CHIROPRACTOR
Phone: (703) 520-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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