Provider Demographics
NPI:1710799523
Name:RENGERT, ADISON ELIZABETH (DC)
Entity type:Individual
Prefix:
First Name:ADISON
Middle Name:ELIZABETH
Last Name:RENGERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7147 BOLTON PRIORY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-5900
Mailing Address - Country:US
Mailing Address - Phone:614-356-7653
Mailing Address - Fax:
Practice Address - Street 1:3860 HARD RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8025
Practice Address - Country:US
Practice Address - Phone:614-356-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor