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ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC NPI 1457535973


NPI Information

NPI: 1457535973
Provider Name: ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC

Doing Business As: FAMILY CHIROPRACTIC OF HARRODSBURG

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
507 JOSEPH DR.
STE. 4
HARRODSBURG, KY
ZIP 40330
Phone: (859) 734-2800
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ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC is a chiropractor in Harrodsburg, KY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC NPI is 1457535973. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Chiropractic Of Harrodsburg.

The provider's business location address is:

507 JOSEPH DR.
STE. 4
HARRODSBURG, KY
ZIP 40330
Phone: (859) 734-2800
Fax: (859) 734-2805

The provider's authorized official is Tosha Mccormack .
The authorized official title is Compliance Officer and has the following contact phone number (859) 408-5440.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 10/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100293130MEDICAIDKENTUCKY
200759001OTHERKENTUCKYMEDICARE PTIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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