# SHAKER FUNCTIONAL REHAB, LLC

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

## Provider details

- **NPI number:** 1205592722
- **Authorized official:** DR. ALEXIS FRANTZIS DC (OWNER)
- **Authorized official phone:** (216) 721-9010

## Contact information

- **Practice address:** 11201 SHAKER BLVD STE 322, CLEVELAND, OH 44104-3871
- **Practice address phone:** (216) 721-9010
- **Practice address fax:** (216) 586-6780
- **Mailing address:** PO BOX 64, RICHFIELD, OH 44286-0064
- **Mailing address phone:** (216) 721-9010
- **Mailing address fax:** (216) 586-6780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021