MEDICARE: GALLIPOLIS CHIROPRACTIC AND WELLNESS CENTER

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	225700000X	Massage Therapist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1184331217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALLIPOLIS CHIROPRACTIC AND WELLNESS CENTER

Provider Business Mailing Address
First Line	:	530 2ND AVE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1219
Country	:	US
Telephone Number	:	740-441-0200
Fax Number	:	740-441-1907

Provider Business Practice Location Address
First Line	:	530 2ND AVE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1219
Country	:	US
Telephone Number	:	740-441-0200
Fax Number	:	740-441-1907

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CARA SANBORNHARTMAN
Credential	:
Telephone Number	:	740-441-0200

Provider Enumeration Date	:	10/28/2022
Last Update Date	:	02/06/2026

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Directions to “GALLIPOLIS CHIROPRACTIC AND WELLNESS CENTER ” Practice Location

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