Alexa Nicole Bodine, DC
Chiropractor in Poland, OH. Individual provider (NPI-1).
NPI number1558074690
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1558074690
- Entity type
- Individual (NPI-1)
- Name
- Alexa Nicole Bodine
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2023
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC-05218 | OH | Yes |
Practice location
44 N Main StPoland, OH 44514-1627
Phone 330-757-4029
Mailing address
44 N Main StPoland, OH 44514-1627
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