# CLINICAL CHIROPRACTIC AND REHAB, LLC

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

## Provider details

- **NPI number:** 1487989620
- **Authorized official:** PAUL EDWARD KOHAKE D.C. (CHIROPRACTOR)
- **Authorized official phone:** (513) 956-3200

## Contact information

- **Practice address:** 10653 TECHWOODS CIRCLE, SUITE 101, CINCINNATI, OH 45242
- **Practice address phone:** (513) 956-3200
- **Practice address fax:** (513) 956-3202
- **Mailing address:** 10653 TECHWOODS CIRCLE, SUITE 101, CINCINNATI, OH 45242
- **Mailing address phone:** (513) 956-3200
- **Mailing address fax:** (513) 956-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | OH3606(OHIO) | OH | Yes |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 10/06/2009