JAXON ROBERT KOEHL DC - NPI 1922980028 - Chiropractor in Fort Wayne, IN

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Jaxon Robert Koehl Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAXON ROBERT KOEHL DC (NPI 1922980028) is an individual chiropractor in Fort Wayne, Indiana, licensed in Indiana (08003529A) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1922980028

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJAXON ROBERT KOEHLCredential: DC

Location Address1114 W COOK RDFort Wayne, IN 46825-3214

Mailing Address1114 W Cook RdFort Wayne, IN 46825-3214 · (260) 483-5588 · Fax (260) 489-1819

Phone(260) 483-5588

Fax(260) 489-1819

Sole ProprietorNo

Enumeration DateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1922980028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IN · 08003529A

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.

1114 W COOK RD, Fort Wayne, IN 46825

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