Provider Demographics
NPI:1083324446
Name:ARLINGTON TOTAL INJURY AND REHAB LLC
Entity Type:Organization
Organization Name:ARLINGTON TOTAL INJURY AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:STACY
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:614-595-6895
Mailing Address - Street 1:1194 OLD HENDERSON RD STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3694
Mailing Address - Country:US
Mailing Address - Phone:614-429-3443
Mailing Address - Fax:614-429-3479
Practice Address - Street 1:1194 OLD HENDERSON RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3694
Practice Address - Country:US
Practice Address - Phone:614-429-3443
Practice Address - Fax:614-429-3479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARLINGTON TOTAL INJURY AND REHAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-28
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty