| NPI | 1902105125 |
|---|---|
| Doing Business As | HEALTHSOURCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SHANE CHRISTOPHER HOYING Chiropractor 270-575-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5235) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |