| NPI | 1689966434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE TORNATORE Owner 502-767-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 174400000X Specialist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-11-16 |