# DIVINE CHIROPRACTIC AND WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE CHIROPRACTIC AND WELLNESS CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033359070
- **Legal business name:** DIVINE CHIROPRACTIC AND WELLNESS CENTER
- **Authorized official:** DEDDEH A. KORVAH-REED D.C (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (614) 222-0019

## Contact information

- **Practice address:** 629 S OHIO AVE, COLUMBUS, OH 43205-2743
- **Practice address phone:** (614) 477-8140
- **Practice address fax:** (614) 258-3811
- **Mailing address:** 67 PARSONS AVE, COLUMBUS, OH 43215-3978
- **Mailing address phone:** (614) 222-0019
- **Mailing address fax:** (614) 222-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3769 | OH | Yes |

## Other

- **Enumeration date:** 03/04/2009
- **Last updated:** 01/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2805503 | — | OH |