Organization
CHAMPION CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROTONDI DC (OWNER)
(502) 459-9321
Entity
Organization
Contact information
Practice address
332 W BROADWAY, #801, LOUISVILLE, KY 40202-2130
(502) 459-9321
Mailing address
332 W BROADWAY, #801, LOUISVILLE, KY 40202-2130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4467
KY
305S00000X
Point of Service
4467
KY
Other
Enumeration date
10/22/2007
Last updated
10/26/2007
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