Individual provider · Type 1 NPI
Gary Lane Benedict, DC
Chiropractor · Marissa, IL
NPI number
1235261066
Active
Practice location
112 N Main St
Marissa, IL 62257-1342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
Other chiropractor providers in Marissa
About NPI 1235261066
Gary Lane Benedict, DC's National Provider Identifier is 1235261066, issued on Mar 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marissa, IL. The record was last updated on Jul 8, 2007.