Organization
FT RECOVERY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD ALAN FOSTER D.C. (OWNER)
(419) 238-6686
Entity
Organization
Contact information
Practice address
103 EAST BROADWAY ST, FT RECOVERY, OH 45846-0655
(419) 375-4558
(419) 375-1002
Mailing address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
07/23/2008
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