Organization
ANDERSON CHIROPRACTIC AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD ANDERSON DC (PRESIDENT)
(502) 365-2569
Entity
Organization
Contact information
Practice address
1126 S 3RD ST, LOUISVILLE, KY 40203-2902
(502) 365-2569
Mailing address
1126 S 3RD ST, LOUISVILLE, KY 40203-2902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5226
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821229337
PERSONAL NPI NUMBER
KY
Enumeration date
10/30/2012
Last updated
10/30/2012
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