# BLUE RIDGE CHIROPRACTIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134396898
- **Authorized official:** DR. BOBBY JOSEPH LUSTER D.C. (PRESIDENT)
- **Authorized official phone:** (334) 514-7327

## Contact information

- **Practice address:** 2412 US HWY 231, WETUMPKA, AL 36092
- **Practice address phone:** (334) 514-7327
- **Practice address fax:** (334) 514-7328
- **Mailing address:** 1504 PRAIRIE LN, MONTGOMERY, AL 36117-3477
- **Mailing address phone:** (334) 318-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2153 | AL | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008