Organization
CROWDER CHIROPRACTIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TERRANCE CROWDER D.C. (CHIROPRACTOR)
(502) 776-0231
Entity
Organization
Contact information
Practice address
2021 W JEFFERSON ST, LOUISVILLE, KY 40203-1527
(502) 776-0231
(502) 776-7383
Mailing address
2021 W JEFFERSON ST, LOUISVILLE, KY 40203-1527
(502) 776-0231
(502) 776-7383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KY 4010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85040103
—
KY
Enumeration date
02/10/2008
Last updated
09/16/2016
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