MEDICARE: GALACTIC HEALTH TECH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1942753843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALACTIC HEALTH TECH, LLC

Provider Business Mailing Address
First Line	:	800 CROSS POINTE RD STE A
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6688
Country	:	US
Telephone Number	:	614-371-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	3461 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-641-7388
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. CHARLES T YANG
Credential	:	D.C.
Telephone Number	:	330-417-2109

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	07/27/2016

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Directions to “GALACTIC HEALTH TECH, LLC ” Practice Location

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