Organization
SHELBY STREET CHIROPRACTIC & INJURY REHAB PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLOVER (CHIROPRACTOR)
(502) 386-1594
Entity
Organization
Contact information
Practice address
802 E BROADWAY, LOUISVILLE, KY 40204-1053
(502) 583-8767
(502) 583-5770
Mailing address
802 E BROADWAY, LOUISVILLE, KY 40204-1053
(502) 583-8767
(502) 583-5770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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