# MARIETTA HEALTH AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1558695411
- **Authorized official:** NOELLE LONG (OFFICE MANAGER)
- **Authorized official phone:** (740) 376-9944

## Contact information

- **Practice address:** 325 4TH ST, SUITE B, MARIETTA, OH 45750-2002
- **Practice address phone:** (740) 376-9944
- **Practice address fax:** (740) 376-0094
- **Mailing address:** 325 4TH ST, SUITE B, MARIETTA, OH 45750-2002
- **Mailing address phone:** (740) 376-9944
- **Mailing address fax:** (740) 376-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 05/09/2012
