Healthcare Provider Details

I. General information

NPI: 1164330627
Provider Name (Legal Business Name): ZAHYN DAVID ORTIZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 DUNNLEA DR
PEWEE VALLEY KY
40056-9053
US

IV. Provider business mailing address

6507 DUNNLEA DR
PEWEE VALLEY KY
40056-9053
US

V. Phone/Fax

Practice location:
  • Phone: 502-509-8063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number301770
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: