Individual
DR. JOHN THOMAS RATUSNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.E.P.
Contact information
Practice address
1830 DESTINY LANE, SUITE 110, BOWLING GREEN, KY 42104-1088
(703) 060-3172
Mailing address
165 GREYROCK DRIVE, BOWLING GREEN, KY 42101
(703) 060-3172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08003175A
IN
111N00000X
Chiropractor
14207
TX
111N00000X
Chiropractor
Primary
248960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304894
ANTHEM
KY
01
—
000000609620
ANTHEM GROUP
KY
05
—
85002806
—
KY
Enumeration date
01/25/2006
Last updated
10/13/2021
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