Provider Demographics
NPI:1992161731
Name:RAY, BILLY MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:MICHAEL
Last Name:RAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 PEOPLES DR STE 140
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-7621
Mailing Address - Country:US
Mailing Address - Phone:864-381-1181
Mailing Address - Fax:
Practice Address - Street 1:3211 PEOPLES DR STE 140
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-7621
Practice Address - Country:US
Practice Address - Phone:864-381-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-09
Last Update Date:2016-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-557304111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation