NPI 1063360675 · live from the CMS NPI Registry
Acacia Chiropractic Clinic PLLC
Chiropractor in Fort Mill, SC. National Provider Identifier 1063360675, active.
NPI record
| NPI | 1063360675 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1188 Stonecrest Blvd Ste 102, Fort Mill, SC 29708 |
| Practice phone | 803-412-2240 |
| Mailing address | 10017 Glencrest Dr, Huntersville, NC 28078 |
| Enumerated | March 19, 2026 |
| Last updated | March 19, 2026 |
| Authorized official | Jared Sams, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.