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Dr. Traci Susanne Pennock, DC
Chiropractor in Middletown, Ohio
NPI 1922277599

Traci Susanne Pennock is a Chiropractor based in Middletown, OH. Traci Susanne Pennock practices in Middletown, OH and has the professional credentials of DC. The NPI Number for Traci Susanne Pennock is 1922277599 and holds a License No. 3471 (Ohio).

The current practice location address for Traci Susanne Pennock is 6730 Roosevelt Ave Ste 205, Middletown, OH and can be reached out via phone at 513-597-0605. You can also correspond with Traci Susanne Pennock through the mailing address at 6730 ROOSEVELT AVE STE 205, MIDDLETOWN, OH - 45005-5743 (mailing address contact number: 513-597-0605).

Location: 6730 Roosevelt Ave Ste 205, Middletown, OH, 45005-5743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922277599
Provider Name
Traci Susanne Pennock
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
6730 Roosevelt Ave Ste 205, Middletown, OH, 45005-5743
Phone Number
513-597-0605
Fax Number
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2852720 05 OH
institution
Provider Business Practice Location Address Details
Address
6730 Roosevelt Ave Ste 205
City
Middletown
State
Ohio
Zip
45005-5743
Phone Number
513-597-0605
Fax Number
person
Provider Business Mailing Address Details
Address
6730 Roosevelt Ave Ste 205
City
Middletown
State
Ohio
Zip
45005-5743
Phone Number
513-597-0605
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3471 (Ohio)
Definition
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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