Organization
SPINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M HOSTUTLER DC (OWNER)
(502) 231-4003
Entity
Organization
Contact information
Practice address
8707 OLD BARDSTOWN RD, LOUISVILLE, KY 40291-4435
(502) 231-4003
(502) 384-0374
Mailing address
8707 OLD BARDSTOWN RD, LOUISVILLE, KY 40291-4435
(502) 231-4003
(502) 384-0374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100148500
—
KY
Enumeration date
04/26/2007
Last updated
10/07/2015
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