Organization
FALLEN TIMBERS CHIROPRACTIC, LLC
Active
Organization
FALLEN TIMBERS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE F. KOSKINEN DC (OWNER)
(419) 877-9919
Entity
Organization
Contact information
Practice address
6901 PROVIDENCE ST, WHITEHOUSE, OH 43571-9273
(419) 877-9919
(419) 877-9977
Mailing address
6901 PROVIDENCE ST, WHITEHOUSE, OH 43571-9273
(419) 877-9919
(419) 877-9977
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1510
OH
Other
Enumeration date
12/14/2006
Last updated
04/13/2012
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