NPI | 1083727994 |
---|---|
Doing Business As | IMAC REGENERATION CENTER |
Entity Type | Organization |
Authorized Contact | JASON W BRAME Management 270-554-5114 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5134) |
207T00000X Neurological Surgery (Licence: KY 36051) | |
225100000X Physical Therapist (Licence: KY 002302) | |
225X00000X Occupational Therapist | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2021-09-16 |