NPI | 1003246133 |
---|---|
Doing Business As | FAIRWOOD CHIROPRACTIC AND PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JASON JAMES ROBERT PEISLEY Owner/Chiropractor 419-843-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4181) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 4184) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2013-11-27 |