Individual provider · Type 1 NPI

Jaxon Robert Koehl, DC

Chiropractor · Fort Wayne, IN

NPI number 1922980028 Active

Practice location

1114 W Cook Rd
Fort Wayne, IN 46825-3214

Fax (260) 489-1819

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X08003529A (IN)

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.

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About NPI 1922980028

Jaxon Robert Koehl, DC's National Provider Identifier is 1922980028, issued on Jul 22, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 22, 2025.