Organization
SPINE CENTER II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M HOSTUTLER (OWNER)
(502) 231-4003
Entity
Organization
Contact information
Practice address
4546 TAYLORSVILLE RD, LOUISVILLE, KY 40220-3528
(502) 493-1040
(502) 493-4754
Mailing address
4546 TAYLORSVILLE RD, LOUISVILLE, KY 40220-3528
(502) 493-1040
(502) 493-4754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4532
KY
Other
Enumeration date
05/02/2007
Last updated
04/03/2008
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