| Chiropractic Louisville Pllc | |
|
152 Thierman Ln, Louisville, KY 40207-5010 | |
| (502) 891-0333 | |
| (502) 721-0086 |
| Full Name | Chiropractic Louisville Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 152 Thierman Ln, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770796476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Gregory Shane Thomas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851310460 PECOS PAC ID: 2769499136 Enrollment ID: I20060309000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Louisville Pllc 152 Thierman Ln, Louisville, KY 40207-5010 Ph: (502) 891-0333 | Chiropractic Louisville Pllc 152 Thierman Ln, Louisville, KY 40207-5010 Ph: (502) 891-0333 |
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