Organization
SPINE CENTER III, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M HOSTUTLER (OWNER)
(502) 231-4003
Entity
Organization
Contact information
Practice address
1929 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
(502) 266-5662
(502) 266-5565
Mailing address
1929 BLANKENBAKER PKWY, LOUISVILLE, KY 40299-2403
(502) 266-5662
(502) 266-5565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4532
KY
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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