# FACKLER FAMILY CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1972788156
- **Authorized official:** DR. PATRICIA MARIANN CARROLL-FACKLER D.C. (SOLE MEMBER)
- **Authorized official phone:** (419) 342-3473

## Contact information

- **Practice address:** 177 W MAIN ST, SHELBY, OH 44875-1439
- **Practice address phone:** (419) 342-3473
- **Mailing address:** 177 W MAIN ST, SHELBY, OH 44875-1439
- **Mailing address phone:** (419) 342-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2289 | OH | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 01/07/2008