# GRACELAND CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Worthington Physical Therapy and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144499880
- **Authorized official:** DR. DEAN ASHLEY HALDEMAN D.C. (OWNER, OPERATOR, PHYSICIAN)
- **Authorized official phone:** (614) 436-2225

## Contact information

- **Practice address:** 7955 N HIGH ST, COLUMBUS, OH 43235-1423
- **Practice address phone:** (614) 436-2225
- **Practice address fax:** (614) 436-2220
- **Mailing address:** 7955 N HIGH ST, COLUMBUS, OH 43235-1423
- **Mailing address phone:** (614) 436-2225
- **Mailing address fax:** (614) 436-2220

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 02/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2550529 | — | OH |
| 01 | — | HA4116562 | MEDICARE | OH |