Organization
NITSCHKE CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NITSCHKE (OWNER)
(419) 300-9790
Entity
Organization
Contact information
Practice address
1275 GREENVILLE RD, SAINT MARYS, OH 45885-9352
(419) 300-9790
(419) 300-9789
Mailing address
1275 GREENVILLE RD, SAINT MARYS, OH 45885-9352
(419) 300-9790
(419) 300-9789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3590
OH
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561400
—
OH
Enumeration date
04/22/2008
Last updated
07/11/2008
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