Healthcare Provider Details

I. General information

NPI: 1518472000
Provider Name (Legal Business Name): DR SPAINHOWER CHIROPRACTIC AND INJURY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 PARIS RD
MAYFIELD KY
42066-4989
US

IV. Provider business mailing address

1247 PARIS RD
MAYFIELD KY
42066-4989
US

V. Phone/Fax

Practice location:
  • Phone: 270-247-0608
  • Fax:
Mailing address:
  • Phone: 270-247-5785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5408
License Number StateKY

VIII. Authorized Official

Name: DR. STEVEN SPAINHOWER
Title or Position: DOCTOR/OWNER
Credential: DC
Phone: 270-247-5785