# 5TH AVENUE INJURY CENTER

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

## Provider details

- **NPI number:** 1205203148
- **Authorized official:** DR. ARTHUR FETTY D.C (MANAGER)
- **Authorized official phone:** (740) 632-4069

## Contact information

- **Practice address:** 1188 W 5TH AVE, COLUMBUS, OH 43212-2501
- **Practice address phone:** (614) 486-3562
- **Practice address fax:** (614) 486-3564
- **Mailing address:** 1188 W 5TH AVE, COLUMBUS, OH 43212-2501
- **Mailing address phone:** (614) 486-3562
- **Mailing address fax:** (614) 486-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4508 | OH | Yes |

## Other

- **Enumeration date:** 08/26/2015
- **Last updated:** 08/26/2015
