Individual
DR. THOMAS WILLIAM RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1265 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 635-6191
(502) 635-7880
Mailing address
16001 PLUM CREEK TRAIL, LOUISVILLE, KY 40299
(502) 297-9940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069097
ANTHEM
KY
01
—
1150834
PASSPORT HEALTH
KY
01
—
2025688
CIGNA
KY
01
—
2438602000
PASSPORT ADVANTAGE
KY
01
—
44
UNITED HEALTHCARE
KY
05
—
85002178
—
KY
Enumeration date
10/10/2006
Last updated
10/07/2010
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