| NPI | 1467675215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON T CROUCH Doctor 270-842-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4889) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-10-13 |