Organization
JLAAT
Active
Other names
Taylor Family Wellness Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH A. TAYLOR D.C. (CHIROPRACTOR)
(937) 233-4055
Entity
Organization
Contact information
Practice address
8501 OLD TROY PIKE, SUITE 190, HUBER HEIGHTS, OH 45424-1054
(937) 233-4055
(937) 233-4077
Mailing address
4114 BROOKSTON DR, SPRINGFIELD, OH 45502-8622
(937) 233-4055
(937) 233-4077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JT9386591
MEDICARE PTAN
OH
Enumeration date
12/29/2009
Last updated
07/27/2015
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