# REHABILITATION & PHYSICAL MEDICINE CLINIC LLC

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

## Provider details

- **NPI number:** 1932677853
- **Authorized official:** MATTHEW ELLIS (OWNER / CHIROPRACTOR)
- **Authorized official phone:** (419) 224-8007

## Contact information

- **Practice address:** 750 W HIGH ST STE 200, LIMA, OH 45801-3995
- **Practice address phone:** (419) 224-8007
- **Practice address fax:** (419) 516-4881
- **Mailing address:** 750 W HIGH ST STE 200, LIMA, OH 45801-3995
- **Mailing address phone:** (419) 224-8007
- **Mailing address fax:** (419) 516-4881

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 12/28/2018