Healthcare Provider Details

I. General information

NPI: 1669662938
Provider Name (Legal Business Name): CAREY CHIRPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 COLUMBUS RD
ATHENS OH
45701-1315
US

IV. Provider business mailing address

147 COLUMBUS RD
ATHENS OH
45701-1315
US

V. Phone/Fax

Practice location:
  • Phone: 740-593-5511
  • Fax: 740-593-8221
Mailing address:
  • Phone: 740-593-5511
  • Fax: 740-593-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2812
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberOH1197
License Number StateOH

VIII. Authorized Official

Name: DELILAH J RITCHIE
Title or Position: OFFICE MANAGER
Credential:
Phone: 740-593-5511