Organization
MED CENTER CHIROPRACTIC REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALEXANDER BLACK (PRESIDENT)
(502) 804-3344
Entity
Organization
Contact information
Practice address
8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050
(502) 804-3344
Mailing address
8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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