Individual
TODD A BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
546 LONGFIELD AVE STE 345, LOUISVILLE, KY 40215-2930
(502) 447-2222
(502) 409-8042
Mailing address
546 LONGFIELD AVE, STE 345, LOUISVILLE, KY 40215-2930
(502) 298-3715
(502) 298-3715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285957035
WELLNESS CHIROPRACTIC
KY
Enumeration date
02/21/2007
Last updated
03/17/2018
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