| Dr Larissa Marie Tilley, DC | |
|
4774 Munson St Nw, Suite 302, Canton, OH 44718-3634 | |
| (330) 494-0422 | |
| (330) 494-3601 |
| Full Name | Dr Larissa Marie Tilley |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 4774 Munson St Nw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912278730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2012002407 (Missouri) | Secondary |
| 111N00000X | Chiropractor | 2595 (Tennessee) | Secondary |
| 111N00000X | Chiropractor | 4404 (Ohio) | Primary |
| Provider Name | Ferguson Family Chiropractic And Wellness Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174861496 PECOS PAC ID: 9032359005 Enrollment ID: O20130716000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larissa Marie Tilley, DC 4774 Munson St Nw, Suite 302, Canton, OH 44718-3634 Ph: (330) 494-0422 | Dr Larissa Marie Tilley, DC 4774 Munson St Nw, Suite 302, Canton, OH 44718-3634 Ph: (330) 494-0422 |
Dr. Philip Gerow Cameron, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4774 Munson St Nw, #302, Canton, OH 44718 Phone: 330-494-0422 Fax: 330-494-3601 | |
Dr. Rick A. Mcmichael, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3945 Fulton Dr Nw, Canton, OH 44718 Phone: 330-492-1010 Fax: 330-492-7506 | |
James P Powell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4867 Munson St Nw, Canton, OH 44718 Phone: 330-494-5533 Fax: 330-494-8101 | |
Porter Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1412 Cleveland Ave Nw, Canton, OH 44703 Phone: 330-452-8811 Fax: 330-452-8871 | |
Dr. John N Pinghero, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3501 Lesh St Ne, Canton, OH 44705 Phone: 330-456-3487 | |
Professional Imaging Consultants Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5395 Governors Ave Nw, Canton, OH 44718 Phone: 330-498-9445 Fax: 330-498-9447 | |
Dr. Monica M Miklo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4065 Fulton Dr Nw, Canton, OH 44718 Phone: 330-493-9340 Fax: 330-493-9681 |