# JACK M. HARLESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255751962
- **Authorized official:** JACK HARLESS DC (CHIROPRACTOR)
- **Authorized official phone:** (937) 681-0512

## Contact information

- **Practice address:** 7974 BIGGER RD, CENTERVILLE, OH 45459-5405
- **Practice address phone:** (937) 681-0512
- **Mailing address:** 8200 PROVINCIAL WAY, CENTERVILLE, OH 45458-2693

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014