Organization
WEST BROADWAY CHIROPRACTIC & REHAB CENTER,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANET MARTINEZ (OFFICE MANAGER)
(502) 314-2692
Entity
Organization
Contact information
Practice address
2600 W BROADWAY STE 105, LOUISVILLE, KY 40211-1303
(502) 314-2692
Mailing address
2600 W BROADWAY STE 105, LOUISVILLE, KY 40211-1303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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