# GIBBONS CHIROPRACTIC AND ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1174905418
- **Authorized official:** DR. DEREK DOUGLAS GIBBONS D.C. (OWNER)
- **Authorized official phone:** (937) 703-9328

## Contact information

- **Practice address:** 50 TROY TOWN DR, SUITE B, TROY, OH 45373-2341
- **Practice address phone:** (937) 703-9328
- **Practice address fax:** (937) 703-9329
- **Mailing address:** 50 TROY TOWN DR, SUITE B, TROY, OH 45373-2341
- **Mailing address phone:** (937) 703-9328
- **Mailing address fax:** (937) 703-9329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4107 | OH | Yes |

## Other

- **Enumeration date:** 06/23/2015
- **Last updated:** 06/23/2015