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Extraordinary Life Chiropractic LLC

Chiropractor in Owensboro, KY. Organization (NPI-2).

NPI number1619703568
StatusActive
Last updated in NPPESSep 9, 2024

Details

NPI
1619703568
Entity type
Organization (NPI-2)
Legal business name
Extraordinary Life Chiropractic LLC
Organization subpart
No
Enumeration date
Sep 9, 2024
Certification date
Sep 9, 2024
Last updated
Sep 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

303 E 14th St Ste 3
Owensboro, KY 42303-3056

Phone 270-297-0028 · Fax 270-297-0026

Mailing address

9910 Melba Ln
Whitesville, KY 42378-9418

Phone 270-993-5398

Authorized official

Christopher Lynn Perry
Owner
2709935398

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