Illume Chiropractic, LLC

NPI #1497147177 in Coshocton, Ohio

Provider Information

NPI Number: 1497147177
Entity Type: Organization
Organization Name: Illume Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 4, 2015
Last Updated: Feb 4, 2016

Practice Location

Address: 305 DOWNTOWNER PLZ
City: Coshocton
State: Ohio
ZIP Code: 43812-1928
Phone: (740) 562-5600

Authorized Official

Name: TANNER DICKERSON, DC
Title: CHIROPRACTOR
Phone: (740) 562-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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