# FAIRWOOD CHIROPRACTIC AND REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairwood Chiropractic and Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003246133
- **Authorized official:** DR. JASON JAMES ROBERT PEISLEY DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (419) 843-1515

## Contact information

- **Practice address:** 5215 MONROE ST, SUITE 4, TOLEDO, OH 43623-3190
- **Practice address phone:** (419) 843-1515
- **Practice address fax:** (419) 715-9554
- **Mailing address:** 5215 MONROE ST, SUITE 4, TOLEDO, OH 43623-3190
- **Mailing address phone:** (419) 843-1515
- **Mailing address fax:** (419) 715-9554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4181 | OH | Yes |
| 225100000X | Physical Therapist | 4184 | OH | — |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 11/27/2013