# GENESIS CHIROPRACTIC LTD

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

## Provider details

- **NPI number:** 1740931161
- **Authorized official:** DR. DAVID CLAGGETT DC (OWNER)
- **Authorized official phone:** (740) 403-5506

## Contact information

- **Practice address:** 202 E BROAD ST, PATASKALA, OH 43062-9500
- **Practice address phone:** (740) 403-5506
- **Mailing address:** 3462 SHARON VALLEY RD NE, NEWARK, OH 43055-9311

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022