| Organization Name: | BEAVERCREEK CHIROPRACTIC & INJURY TREATMENT CTR., INC. |
| NPI Number: | 1013004514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEREK R BLACK (PRESIDENT) |
| Mailing Address: | 3060 Dayton Xenia Rd Suite A Beavercreek |
| State: | OH US |
| Postal Code: | 454346308 |
| Phone Number: | 9374272225 |
| Fax Number: | 9374311722 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT006681 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |