# NON-SURGICAL SPINE & DISC CARE CTR, INC

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

## Provider details

- **NPI number:** 1558547927
- **Authorized official:** DR. JOHN KELLENBERGER SR. D.C. (VP)
- **Authorized official phone:** (239) 728-3472

## Contact information

- **Practice address:** 12951 METRO PKWY, 5, FORT MYERS, FL 33966-8340
- **Practice address phone:** (239) 728-3472
- **Practice address fax:** (239) 489-1314
- **Mailing address:** 12951 METRO PKWY, 5, FORT MYERS, FL 33966-8340
- **Mailing address phone:** (239) 728-3472
- **Mailing address fax:** (239) 489-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH2118 | FL | Yes |
| 111N00000X | Chiropractor | CH7948 | FL | — |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008
