# CREEKSIDE CHIROPRACTIC CENTER

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

## Provider details

- **NPI number:** 1649459165
- **Authorized official:** JODI LUAINE COOLEY (OWNER)
- **Authorized official phone:** (614) 472-0992

## Contact information

- **Practice address:** 960 N HAMILTON RD, SUITE 104, GAHANNA, OH 43230-3457
- **Practice address phone:** (614) 472-0992
- **Practice address fax:** (614) 472-0994
- **Mailing address:** 960 N HAMILTON RD, SUITE 104, GAHANNA, OH 43230-3457
- **Mailing address phone:** (614) 472-0992
- **Mailing address fax:** (614) 472-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2092 | OH | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2790850 | — | OH |