Organization
DYER MANTONYA CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L. MANTONYA D.C. (CO-OWNER)
(740) 522-5500
Entity
Organization
Contact information
Practice address
693 HOPEWELL DR, HEATH, OH 43056-1579
(740) 522-5500
(740) 522-5444
Mailing address
693 HOPEWELL DR, HEATH, OH 43056-1579
(740) 522-5500
(740) 522-5444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112327
—
OH
05
—
2190089
—
OH
05
—
2193906
—
OH
05
—
2609252
—
OH
Enumeration date
04/11/2007
Last updated
02/12/2014
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