# CHIROPRACTIC 419 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HealthSource Chiropractic South Toledo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255684684
- **Authorized official:** JEFFREY LEE KOEPFLER DC (MEMBER/DOCTOR)
- **Authorized official phone:** (419) 720-1472

## Contact information

- **Practice address:** 6546 WEATHERFIELD CT STE C1, MAUMEE, OH 43537-9255
- **Practice address phone:** (419) 720-1472
- **Practice address fax:** (419) 720-1475
- **Mailing address:** 6546 WEATHERFIELD CT STE C1, MAUMEE, OH 43537-9255
- **Mailing address phone:** (419) 720-1472
- **Mailing address fax:** (419) 720-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2089 | OH | Yes |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 12/03/2025