Healthcare Provider Details

I. General information

NPI: 1659294684
Provider Name (Legal Business Name): CAVE CITY CHIRO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N 1ST ST
CAVE CITY KY
42127-9502
US

IV. Provider business mailing address

104 N 1ST ST
CAVE CITY KY
42127-9502
US

V. Phone/Fax

Practice location:
  • Phone: 270-304-4723
  • Fax:
Mailing address:
  • Phone: 270-304-4723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CODY COX
Title or Position: OWNER
Credential: DC
Phone: 270-304-4723