Provider Demographics
NPI:1881643930
Name:DANIEL'S CHIROPRACTIC & REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:DANIEL'S CHIROPRACTIC & REHABILITATION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LLC
Authorized Official - Phone:724-663-4225
Mailing Address - Street 1:231 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CLAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15323
Mailing Address - Country:US
Mailing Address - Phone:724-663-4225
Mailing Address - Fax:724-663-4256
Practice Address - Street 1:231 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323
Practice Address - Country:US
Practice Address - Phone:724-663-4225
Practice Address - Fax:724-663-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty