# MERCY CHIROPRACTIC AND REHABILITATION CLINIC, LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134302797
- **Authorized official:** DR. JAKE PARK D.C. (PARTNER)
- **Authorized official phone:** (410) 465-3221

## Contact information

- **Practice address:** 9005 CHEVROLET DR, SUITE 4, ELLICOTT CITY, MD 21042-4009
- **Practice address phone:** (410) 465-3514
- **Mailing address:** 9005 CHEVROLET DR, SUITE 4, ELLICOTT CITY, MD 21042-4009
- **Mailing address phone:** (410) 465-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 12/06/2007