# DYER MANTONYA CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1598988164
- **Authorized official:** KELLY L. MANTONYA D.C. (CO-OWNER)
- **Authorized official phone:** (740) 522-5500

## Contact information

- **Practice address:** 693 HOPEWELL DR, HEATH, OH 43056-1579
- **Practice address phone:** (740) 522-5500
- **Practice address fax:** (740) 522-5444
- **Mailing address:** 693 HOPEWELL DR, HEATH, OH 43056-1579
- **Mailing address phone:** (740) 522-5500
- **Mailing address fax:** (740) 522-5444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1745 | OH | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 02/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112327 | — | OH |
| 05 | — | 2190089 | — | OH |
| 05 | — | 2193906 | — | OH |
| 05 | — | 2609252 | — | OH |