# MANTONYA CHIROPRACTIC CENTER LLC

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

## Provider details

- **NPI number:** 1174983589
- **Authorized official:** GREGG ALLEN MANTONYA D.C. (CLINIC OWNER)
- **Authorized official phone:** (740) 366-6601

## Contact information

- **Practice address:** 905 N 21ST STREET, SUITE D, NEWARK, OH 43055-7251
- **Practice address phone:** (740) 366-6601
- **Practice address fax:** (740) 366-6286
- **Mailing address:** 905 N 21ST STREET, SUITE D, NEWARK, OH 43055-7251
- **Mailing address phone:** (740) 366-6601
- **Mailing address fax:** (740) 366-6286

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 03/27/2020