| Wolter Chiropractic Pllc | |
|
2304 Hurstbourne Village Dr Ste 100, Louisville, KY 40299-1856 | |
| (502) 493-2400 | |
| (502) 493-5050 |
| Full Name | Wolter Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2304 Hurstbourne Village Dr Ste 100, 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 |
|---|---|---|---|
| 1861945990 | NPI | - | NPPES |
| 85003275 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4631 (Kentucky) | Primary |
| Provider Name | Todd D Wolter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508801168 PECOS PAC ID: 2961492012 Enrollment ID: I20040512001358 |
| Provider Name | Justin E Page |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487817888 PECOS PAC ID: 3678646833 Enrollment ID: I20230612000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Wolter Chiropractic Pllc 2304 Hurstbourne Village Dr Ste 100, Louisville, KY 40299-1856 Ph: (502) 493-2400 | Wolter Chiropractic Pllc 2304 Hurstbourne Village Dr Ste 100, Louisville, KY 40299-1856 Ph: (502) 493-2400 |
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