Organization
PROACTIVE SPINE CARE LLC
Active
Other names
ProActive Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON GOODPASTER DC (OWNER/CHIROPRACTOR)
(606) 485-4090
Entity
Organization
Contact information
Practice address
2835 S HIGHWAY 27 STE 338, SOMERSET, KY 42501-3063
(606) 485-4090
(606) 485-4093
Mailing address
2835 S HIGHWAY 27 STE 338, SOMERSET, KY 42501-3063
(606) 485-4090
(606) 485-4093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
06/20/2024
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