Individual provider · Type 1 NPI
Mark Edgar Pettay, DC
Chiropractor · Groveport, OH
NPI number
1407979313
Active
Practice location
495 Main St, Suite D
Groveport, OH 43125-1184
Fax (614) 836-3038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1755 (OH) |
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.
Another provider at this address
About NPI 1407979313
Mark Edgar Pettay, DC's National Provider Identifier is 1407979313, issued on Apr 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Groveport, OH. The record was last updated on Jul 8, 2007.