Healthcare Provider Details

I. General information

NPI: 1699842088
Provider Name (Legal Business Name): BYERS-ABSTON CHIROPRACTIC, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N. LYNDON LANE SUITE 102
LOUISVILLE KY
40222-5550
US

IV. Provider business mailing address

105 N. LYNDON LANE SUITE 102
LOUISVILLE KY
40222-5550
US

V. Phone/Fax

Practice location:
  • Phone: 502-426-6715
  • Fax: 502-426-6716
Mailing address:
  • Phone: 502-426-6715
  • Fax: 502-426-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number3737
License Number StateKY

VIII. Authorized Official

Name: DR. TERRI BYERS-ABSTON
Title or Position: OWNER
Credential: D.C.
Phone: 502-426-6715