# BLUE RIBBON CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1396280111
- **Authorized official:** DR. LISA N BRADEN D.C. (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (330) 482-2556

## Contact information

- **Practice address:** 101 E PARK AVE, COLUMBIANA, OH 44408-1352
- **Practice address phone:** (330) 482-2556
- **Practice address fax:** (330) 482-3114
- **Mailing address:** 101 E PARK AVE, COLUMBIANA, OH 44408-1352
- **Mailing address phone:** (330) 482-2556
- **Mailing address fax:** (330) 482-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4582 | OH | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017