Provider Demographics
NPI:1033729496
Name:WELLNESS DOCS
Entity Type:Organization
Organization Name:WELLNESS DOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-469-6400
Mailing Address - Street 1:11123 MONTGOMERY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2390
Mailing Address - Country:US
Mailing Address - Phone:513-469-6400
Mailing Address - Fax:513-469-2225
Practice Address - Street 1:11123 MONTGOMERY RD STE 105
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2390
Practice Address - Country:US
Practice Address - Phone:513-469-6400
Practice Address - Fax:513-469-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty