| Live Well Chiropractic & Lifestyle | |
|
3730 Frankfort Ave, #203, Louisville, KY 40207-2582 | |
| (502) 409-9300 | |
| Not Available |
| Full Name | Live Well Chiropractic & Lifestyle |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3730 Frankfort Ave, 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 |
|---|---|---|---|
| 1770875411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4799 (Kentucky) | Primary |
| Provider Name | Richard Troy Willis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306950167 PECOS PAC ID: 5092783274 Enrollment ID: I20040924000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Chiropractic & Lifestyle 219 Norbourne Blvd, Louisville, KY 40207-3922 Ph: (502) 836-0303 | Live Well Chiropractic & Lifestyle 3730 Frankfort Ave, #203, Louisville, KY 40207-2582 Ph: (502) 409-9300 |
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