| NPI | 1497392310 |
|---|---|
| Doing Business As | BLUEGRASS CHIRO ELIZABETHTOWN |
| Entity Type | Organization |
| Authorized Contact | TOSHA MCCORMACK Compliance Officer 859-408-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-10-06 |