| NPI | 1811152713 |
|---|---|
| Doing Business As | DYNAMIC MEDICAL & REHAB |
| Entity Type | Organization |
| Authorized Contact | MARK T HENDERSON Owner 502-426-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: KY 33009) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4390) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-09-08 |