# ADVANCED CHIROPRACTIC & REHAB, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093172868
- **Authorized official:** MICHAEL LYONS D.C. (OWNER)
- **Authorized official phone:** (330) 726-7404

## Contact information

- **Practice address:** 755 BOARDMAN CANFIELD RD, SUITE P-1, BOARDMAN, OH 44512-4300
- **Practice address phone:** (330) 726-7404
- **Practice address fax:** (330) 729-9166
- **Mailing address:** PO BOX 3351, BOARDMAN, OH 44513-3351
- **Mailing address phone:** (330) 726-7404
- **Mailing address fax:** (333) 072-9916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | PT005210 | OH | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 01/25/2016