Provider Demographics
NPI:1417585985
Name:ABILITY CHIROPRACTIC POWELL LLC
Entity Type:Organization
Organization Name:ABILITY CHIROPRACTIC POWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:MABRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-543-2727
Mailing Address - Street 1:170 W OLENTANGY ST STE P
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8715
Mailing Address - Country:US
Mailing Address - Phone:740-410-9355
Mailing Address - Fax:740-410-9355
Practice Address - Street 1:170 W OLENTANGY ST STE P
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8715
Practice Address - Country:US
Practice Address - Phone:740-907-9355
Practice Address - Fax:740-907-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty