| NPI | 1659339653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI HENSLEY Director, Corporate Credentialing 614-293-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 171100000X Acupuncturist | |
| 207QS0010X Family Medicine Sports Medicine | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-04-12 |