# JLAAT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Family Wellness Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720318645
- **Authorized official:** DR. LEIGH A. TAYLOR D.C. (CHIROPRACTOR)
- **Authorized official phone:** (937) 233-4055

## Contact information

- **Practice address:** 8501 OLD TROY PIKE, SUITE 190, HUBER HEIGHTS, OH 45424-1054
- **Practice address phone:** (937) 233-4055
- **Practice address fax:** (937) 233-4077
- **Mailing address:** 4114 BROOKSTON DR, SPRINGFIELD, OH 45502-8622
- **Mailing address phone:** (937) 233-4055
- **Mailing address fax:** (937) 233-4077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3455 | OH | Yes |

## Other

- **Enumeration date:** 12/29/2009
- **Last updated:** 07/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | JT9386591 | MEDICARE PTAN | OH |