| NPI | 1205202645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LAFERTY Office Manager 606-487-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4560) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5183) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |