Organization
FOUNDATION CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY CHASE DC (CHIROPRACTOR)
(270) 761-1945
Entity
Organization
Contact information
Practice address
1601 HIGHWAY 121 BYP N STE B, MURRAY, KY 42071-8759
(270) 917-2225
Mailing address
1601 HIGHWAY 121 BYP N STE B, MURRAY, KY 42071-8759
(270) 917-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100523750
—
KY
Enumeration date
07/06/2017
Last updated
06/26/2023
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