Healthcare Provider Details

I. General information

NPI: 1346607397
Provider Name (Legal Business Name): KATHERINE BRUCE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N COLUMBUS ST
LANCASTER OH
43130-3033
US

IV. Provider business mailing address

422 N COLUMBUS ST
LANCASTER OH
43130-3033
US

V. Phone/Fax

Practice location:
  • Phone: 740-422-8484
  • Fax: 740-422-8486
Mailing address:
  • Phone: 740-422-8484
  • Fax: 740-422-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4601
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: