Organization
CHERRY BLOSSOM CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T MCMONIGLE DC (PHYSICIAN/CO-OWNER)
(502) 868-6090
Entity
Organization
Contact information
Practice address
1412 N BROADWAY, SUITE 26, LEXINGTON, KY 40505-3157
(859) 543-0252
(859) 543-0698
Mailing address
104 LAWSON DR, SUITE 107, GEORGETOWN, KY 40324-8998
(502) 898-6090
(859) 543-0698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10804944
CAQH
KY
Enumeration date
12/06/2013
Last updated
12/06/2013
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