Healthcare Provider Details

I. General information

NPI: 1548213416
Provider Name (Legal Business Name): SCATENA CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 MAJESTIC DR SUITE 160
LEXINGTON KY
40513-1895
US

IV. Provider business mailing address

1019 MAJESTIC DR SUITE 160
LEXINGTON KY
40513-1496
US

V. Phone/Fax

Practice location:
  • Phone: 859-223-0488
  • Fax:
Mailing address:
  • Phone: 859-223-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY JOSEPH SCATENA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 859-223-0488