Organization
RETTAY CHIROPRACTIC OFFICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MIKKELSON D.C. (CHIROPRACTOR)
(859) 525-7117
Entity
Organization
Contact information
Practice address
7560 B BURLINGTON PIKE, FLORENCE, KY 41042-9634
(859) 525-7117
(859) 282-3343
Mailing address
PO BOX 547, 7560 B BURLINGTON PIKE, FLORENCE, KY 41042-9634
(859) 525-7117
(859) 282-3343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4396
KY
Other
Enumeration date
12/28/2007
Last updated
12/11/2009
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