Organization
REBEL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON SCHWANZ DC (OWNER)
(419) 878-8142
Entity
Organization
Contact information
Practice address
1222 PRAY BLVD STE 1, WATERVILLE, OH 43566-8717
(419) 878-8142
(419) 878-8143
Mailing address
1222 PRAY BLVD STE 1, WATERVILLE, OH 43566-8717
(419) 878-8142
(419) 878-8143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1201
OH
Other
Enumeration date
11/09/2016
Last updated
09/18/2019
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