Healthcare Provider Details

I. General information

NPI: 1720214471
Provider Name (Legal Business Name): GERMANTOWN CHIROPRACTIC, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MILTON ST
LOUISVILLE KY
40217-1259
US

IV. Provider business mailing address

1100 MILTON ST
LOUISVILLE KY
40217-1259
US

V. Phone/Fax

Practice location:
  • Phone: 502-637-7754
  • Fax:
Mailing address:
  • Phone: 502-637-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5106
License Number StateKY

VIII. Authorized Official

Name: DR. SARAH B MURROW
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 502-637-7754