12th Street Chiropractic & Injury Rehabilitation, Psc
NPI #1710294541 in Louisville, Kentucky
Provider Information
- NPI Number
- 1710294541
- Entity Type
- Organization
- Organization Name
- 12th Street Chiropractic & Injury Rehabilitation, Psc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 31, 2010
- Last Updated
- Sep 20, 2010
Practice Location
- Address
- 1211 W BROADWAY UNIT 101
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40203-2082
- Phone
- (502) 587-7328
Authorized Official
- Name
- MICHAEL CLOVER
- Title
- CHIROPRACTOR
- Phone
- (502) 386-1594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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