Organization
SOUTHWORTH ACTIVE SPINE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THEODORA NOEL DAWES-BAILEY (OFFICE MANAGER)
(614) 404-9703
Entity
Organization
Contact information
Practice address
8076 EAST BROAD STREET, REYNOLDSBURG, OH 43068-8024
(614) 986-9103
(614) 986-9619
Mailing address
8076 E BROAD ST, REYNOLDSBURG, OH 43068-8024
(614) 986-9103
(614) 986-9619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538421672
—
OH
Enumeration date
03/17/2016
Last updated
03/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us