# WELLSPRINGS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1245421007
- **Authorized official:** DR. KENNETH JOHN FISH D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (301) 519-1881

## Contact information

- **Practice address:** 937 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3280
- **Practice address phone:** (301) 519-1881
- **Practice address fax:** (301) 519-1131
- **Mailing address:** 937 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3280
- **Mailing address phone:** (301) 519-1881
- **Mailing address fax:** (301) 519-1131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 01987 | MD | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 06/09/2008