Living Well Spine Center, LLC

NPI #1225240088 in Fairborn, Ohio

Provider Information

NPI Number: 1225240088
Entity Type: Organization
Organization Name: Living Well Spine Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 1145 CHANNINGWAY DR.
City: Fairborn
State: Ohio
ZIP Code: 45324
Phone: (937) 878-1071

Authorized Official

Name: DR. JAMES MCCOSKEY, D.C.
Title: CHIROPRACTOR
Phone: (937) 878-1071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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