Provider Demographics
NPI:1700769775
Name:LEWIS CHIROPRACTIC & BODY RESTORATION
Entity type:Organization
Organization Name:LEWIS CHIROPRACTIC & BODY RESTORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIAH
Authorized Official - Middle Name:STACIA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-888-3728
Mailing Address - Street 1:14407 TOOLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6627
Mailing Address - Country:US
Mailing Address - Phone:804-888-3728
Mailing Address - Fax:
Practice Address - Street 1:1312 BAINBRIDGE ST STE 101
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2114
Practice Address - Country:US
Practice Address - Phone:804-388-3046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty