Organization · NPI-2
Anderson Chiropractic And Rehab
Chiropractor · Louisville, KY
NPI number1851645774
StatusActive
Last updated in NPPESOct 30, 2012
Details
- NPI
- 1851645774
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Chiropractic And Rehab
- Organization subpart
- No
- Enumeration date
- Oct 30, 2012
- Last updated
- Oct 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5226 | KY | Yes |
Practice location
1126 S 3rd StLouisville, KY 40203-2902
Phone 502-365-2569
Mailing address
1126 S 3rd StLouisville, KY 40203-2902
Authorized official
Reginald Anderson
President
5023652569
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