Lifesource Health Center LLC

NPI #1477136778 in Medina, Ohio

Provider Information

NPI Number: 1477136778
Entity Type: Organization
Organization Name: Lifesource Health Center LLC
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 4483 WEYMOUTH RD
City: Medina
State: Ohio
ZIP Code: 44256-8601
Phone: (330) 764-3434

Authorized Official

Name: TIMOTHY LOUIS VIERHELLER, DC
Title: PARTNER
Phone: (419) 961-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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