Advanced Chiropractic And Physical Therapy LLC
Chiropractor, Sports Physician in Boardman, OH. Organization (NPI-2).
NPI number1255647996
StatusActive
Last updated in NPPESApr 17, 2017
Details
- NPI
- 1255647996
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Chiropractic And Physical Therapy LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 19, 2010
- Last updated
- Apr 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 2826 | OH | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 2826 | OH | |
| 224Y00000X | Clinical Exercise Physiologist | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225700000X | Massage Therapist | – | – |
Other names
- Cleveland Chiropractic & Rehab LLC (Former Legal Business Name)
Practice location
755 Boardman Canfield Rd Ste P1Boardman, OH 44512-7325
Phone 330-726-7404 · Fax 330-729-9166
Mailing address
Po Box 3351Boardman, OH 44513-3351
Phone 330-726-7404 · Fax 330-729-9166
Authorized official
Michael C Lyons
Member
3307267404
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