Provider Demographics
NPI:1558785113
Name:AXIS HEALTH CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:AXIS HEALTH CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:THEIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-433-9000
Mailing Address - Street 1:6535 MARKET AVE N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721
Mailing Address - Country:US
Mailing Address - Phone:330-433-9000
Mailing Address - Fax:330-433-9026
Practice Address - Street 1:6535 MARKET AVE N
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721
Practice Address - Country:US
Practice Address - Phone:330-433-9000
Practice Address - Fax:330-433-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty