Rooted Glory Llc

Specialty details in registry · Palmyra, VA

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At a glance

388 Rising Sun Rd, Palmyra, VA 22963-4508

NPPES record updated Dec 19, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

388 Rising Sun Rd
Palmyra, VA 22963-4508
Professional details: NPI, taxonomy & registry record
NPI1639034838
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Dec 19, 2025
Record updated
Dec 19, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

Specialty details in registry

347C00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

388 Rising Sun Rd
Palmyra, VA 22963-4508
Phone
(434) 882-5007
Mailing address
388 RISING SUN RD

PALMYRA, VA 229634508
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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