=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174419949
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABILITY CHIROPRACTIC GROVE CITY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2025
-----------------------------------------------------
Last Update Date | 11/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3621 SOUTHWEST BLVD # C
-----------------------------------------------------
City | GROVE CITY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43123-2266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-484-9355
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3621 SOUTHWEST BLVD # C
-----------------------------------------------------
City | GROVE CITY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43123-2266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-957-0004
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRIAN MABRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 614-957-0004
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------