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Organization

BODYWORK CHIROPRACTIC AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAH SOUTHARD DC (OWNER)
(440) 554-7642
Entity
Organization

Contact information

Practice address
3807 BRECKSVILLE RD STE 4, RICHFIELD, OH 44286-9165
(330) 523-7020
Mailing address
3807 BRECKSVILLE RD STE 4, RICHFIELD, OH 44286-9165
(330) 523-7020

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NPI
NPI
OH
Enumeration date
05/24/2023
Last updated
08/04/2023
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