Organization
VALLEY STATION CHIROPRACTIC & REHAB,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRASS DC (OWNER)
(502) 933-2005
Entity
Organization
Contact information
Practice address
10400 DIXIE HWY STE 101, LOUISVILLE, KY 40272-5913
(502) 933-2005
(502) 933-2074
Mailing address
10400 DIXIE HWY STE 101, LOUISVILLE, KY 40272-5913
(502) 933-2005
(502) 933-2074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8503666300
—
KY
Enumeration date
04/04/2013
Last updated
06/10/2013
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