Provider Demographics
NPI:1871250639
Name:MAHONY-RATHBURN CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:MAHONY-RATHBURN CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:L RATHBURN
Authorized Official - Last Name:MAHONY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-687-0542
Mailing Address - Street 1:7021 GARMAN RD.
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706
Mailing Address - Country:US
Mailing Address - Phone:260-319-1126
Mailing Address - Fax:260-627-0772
Practice Address - Street 1:8422 UNION CHAPEL RD.
Practice Address - Street 2:
Practice Address - City:FT. WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845
Practice Address - Country:US
Practice Address - Phone:260-319-1126
Practice Address - Fax:260-627-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty