Healthcare Provider Details

I. General information

NPI: 1184331217
Provider Name (Legal Business Name): GALLIPOLIS CHIROPRACTIC AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 2ND AVE
GALLIPOLIS OH
45631-1219
US

IV. Provider business mailing address

530 2ND AVE
GALLIPOLIS OH
45631-1219
US

V. Phone/Fax

Practice location:
  • Phone: 740-441-0200
  • Fax: 740-441-1907
Mailing address:
  • Phone: 740-441-0200
  • Fax: 740-441-1907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARA SANBORNHARTMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 740-441-0200