Healthcare Provider Details

I. General information

NPI: 1922553833
Provider Name (Legal Business Name): THOROUGHBRED CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2016
Last Update Date: 08/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 BISHOP LN SUITE 800
LOUISVILLE KY
40218-1922
US

IV. Provider business mailing address

1941 BISHOP LN SUITE 800
LOUISVILLE KY
40218-1922
US

V. Phone/Fax

Practice location:
  • Phone: 502-425-6200
  • Fax: 502-425-6400
Mailing address:
  • Phone: 502-425-6200
  • Fax: 502-425-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4999
License Number StateKY

VIII. Authorized Official

Name: DR. LARRY ANTHONY SEARS
Title or Position: MEMBER
Credential: DC
Phone: 502-425-6200