# LIVING WELL REHABILITATION & WELLNESS, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982922886
- **Authorized official:** MAX HAMMOND (DIRECTOR)
- **Authorized official phone:** (859) 410-8550

## Contact information

- **Practice address:** 100 MALLARD CREEK RD, SUITE 390, LOUISVILLE, KY 40207-4194
- **Practice address phone:** (502) 267-8610
- **Practice address fax:** (502) 267-9019
- **Mailing address:** PO BOX 910544, LEXINGTON, KY 40591-0544
- **Mailing address phone:** (859) 410-8550
- **Mailing address fax:** (859) 223-0642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 02/06/2013