COUNTRYSIDE CLINIC OF CHIROPRACTIC, LLC is a chiropractor in Lebanon, OH. The provider is 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. COUNTRYSIDE CLINIC OF CHIROPRACTIC, LLC NPI is 1063837367. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
990 BELVEDERE DR STE B
LEBANON, OH
ZIP 45036-193
Phone: (513) 836-8844
Fax: (513) 836-8845
The provider's authorized official is Tony Dejtiranukul .
The authorized official title is Owner and has the following contact phone number (314) 496-6030.
The enumeration date for this NPI number is 2/23/2014 and was last updated on 11/26/2019.