Back 2 Life Chiropractic, PSC
Organization Active NPI Chiropractor · Georgetown, KY
NPI 1376725911 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1376725911
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4716 (KY)
- Legal business name
- BACK 2 LIFE CHIROPRACTIC, PSC
- Practice address
- 104 Lawson Dr
Suite 107
Georgetown, KY 40324-8998 - Phone
- (502) 867-0089
- Fax
- (502) 867-0180
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ryan M Bond, D. C.
- Title
- Chiropractor
- Phone
- (502) 867-0089
National Provider Directory
Locations
104 Lawson Dr
Ste 107
Georgetown, KY 40324
Phone (502) 867-0089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4716 | KY | Yes |
Addresses
Primary practice location
104 Lawson Dr
Suite 107
Georgetown, KY 40324-8998
Mailing address
104 Lawson Dr
Suite 107
Georgetown, KY 40324-8998
Phone (502) 867-0089
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000227300 | Other | KY | BLUECROSS BLUESHIELD |
| 111N0000X | Other | KY | TAXONOMY |
| 645717 | Other | KY | UHC |
| 8500227 | Medicaid | KY | |
| 7197394 | Other | KY | AETNA |
| 1196909 | Other | KY | CHA |
| 7187 | Other | KY | MEDICARE GROUP |
Other names
- Bond Chiropractic, PSC
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.