12TH STREET CHIROPRACTIC & INJURY REHABILITATION PSC NPI 1710294541

NPI Information

12TH STREET CHIROPRACTIC & INJURY REHABILITATION, PSC is a chiropractor in Louisville, 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. 12TH STREET CHIROPRACTIC & INJURY REHABILITATION, PSC NPI is 1710294541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 W BROADWAY UNIT 101
LOUISVILLE, KY
ZIP 40203-082
Phone: (502) 587-7328
Fax: (502) 587-7355

The provider's authorized official is Michael Clover .
The authorized official title is Chiropractor and has the following contact phone number (502) 386-1594.

The enumeration date for this NPI number is 8/31/2010 and was last updated on 9/20/2010.

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:

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