# INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMAC Regeneration Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083727994
- **Authorized official:** JASON W BRAME DC (MANAGEMENT)
- **Authorized official phone:** (270) 554-5114

## Contact information

- **Practice address:** 2725 JAMES SANDERS BLVD, SUITE A, PADUCAH, KY 42001-8401
- **Practice address phone:** (270) 554-5114
- **Practice address fax:** (270) 554-5021
- **Mailing address:** 2725 JAMES SANDERS BLVD, SUITE A, PADUCAH, KY 42001-8401
- **Mailing address phone:** (270) 554-5114
- **Mailing address fax:** (270) 554-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5134 | KY | — |
| 207T00000X | Neurological Surgery Physician | 36051 | KY | — |
| 225100000X | Physical Therapist | 002302 | KY | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 09/16/2021