Organization
CHIROPRACTIC SERVICE STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TERRY GODFREY D.C. (OWNER/CHIROPRACTOR)
(260) 563-9090
Entity
Organization
Contact information
Practice address
1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
(260) 563-9090
Mailing address
1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
(260) 563-9090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002923A
IN
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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