# EASTLAND CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1457474694
- **Authorized official:** MRS. SARAH ROTHGEB (BILLING SPECIALIST)
- **Authorized official phone:** (614) 801-1307

## Contact information

- **Practice address:** 4261 KIMBERLY PKWY, COLUMBUS, OH 43232-7226
- **Practice address phone:** (614) 755-7700
- **Practice address fax:** (614) 755-9634
- **Mailing address:** 3696 GARDEN CT, GROVE CITY, OH 43123-2906
- **Mailing address phone:** (614) 801-1307
- **Mailing address fax:** (614) 277-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3510 | OH | Yes |
| 225100000X | Physical Therapist | PT010968 | OH | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 03/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2521597 | — | OH |
| 05 | — | 2771031 | — | OH |