# OXFORD MEDICAL HEALTH & WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1356351464
- **Authorized official:** DR. STACY A CHIDESTER D.C. (OWNER/OPERATOR)
- **Authorized official phone:** (513) 524-4800

## Contact information

- **Practice address:** 5144 COLLEGE CORNER PIKE, SUITE A, OXFORD, OH 45056-2129
- **Practice address phone:** (513) 524-4800
- **Practice address fax:** (513) 523-8631
- **Mailing address:** 5144 COLLEGE CORNER PIKE, SUITE A, OXFORD, OH 45056-2129
- **Mailing address phone:** (513) 524-4800
- **Mailing address fax:** (513) 523-8631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2292 | OH | Yes |
| 2251S0007X | Sports Physical Therapist | 07243 | OH | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/28/2014