Organization · NPI-2
Anderson Chiropractic & Rehab PLLC
Chiropractor · Louisville, KY
NPI number1881909109
StatusActive
Last updated in NPPESMar 19, 2014
Details
- NPI
- 1881909109
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Chiropractic & Rehab PLLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2010
- Last updated
- Mar 19, 2014
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 · Fax 502-365-2640
Mailing address
1126 S 3rd StLouisville, KY 40203-2902
Phone 502-365-2569 · Fax 502-365-2640
Authorized official
Reginald Anderson
Doctor Of Chiropractic
5024161911
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