# WESTERVILLE SPINE & REHAB LLC

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

## Provider details

- **NPI number:** 1457752040
- **Authorized official:** ROBERT BROOKS (OWNER)
- **Authorized official phone:** (614) 384-0800

## Contact information

- **Practice address:** 623 PARK MEADOW ROAD, SUITE E, WESTERVILLE, OH 43081
- **Practice address phone:** (614) 384-0800
- **Practice address fax:** (614) 384-0801
- **Mailing address:** 623 PARK MEADOW ROAD, SUITE E, WESTERVILLE, OH 43081
- **Mailing address phone:** (614) 384-0800
- **Mailing address fax:** (614) 384-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0013X | Independent Medical Examiner Chiropractor | — | NULL | — |
| 111NI0013X | Independent Medical Examiner Chiropractor | — | OH | — |
| 111NI0013X | Independent Medical Examiner Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | OH | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 08/10/2015