Healthcare Provider Details

I. General information

NPI: 1164640298
Provider Name (Legal Business Name): GALBRAITH CHIROPRACTIC OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 LEGION DR STE 2
LEXINGTON KY
40504-2716
US

IV. Provider business mailing address

340 LEGION DR STE 2
LEXINGTON KY
40504-2716
US

V. Phone/Fax

Practice location:
  • Phone: 859-254-9401
  • Fax: 859-254-3500
Mailing address:
  • Phone: 859-254-9401
  • Fax: 859-254-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberR3357
License Number StateKY

VIII. Authorized Official

Name: DR. TERRY L GALBRAITH
Title or Position: OWNER
Credential: D.C
Phone: 859-254-9401