Provider Demographics
NPI:1730413253
Name:DIMENSIONAL FAMILY WELLNESS, INC
Entity type:Organization
Organization Name:DIMENSIONAL FAMILY WELLNESS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:865-567-6237
Mailing Address - Street 1:2522 TIMBER HIGHLANDS LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-2395
Mailing Address - Country:US
Mailing Address - Phone:865-567-6237
Mailing Address - Fax:
Practice Address - Street 1:11320 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2858
Practice Address - Country:US
Practice Address - Phone:865-567-6237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty