MEDICARE: ALIGN YOUR SPINE CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	5352	KY

General Provider Information

NPI Number	:	1457860033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGN YOUR SPINE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	4107 BROWNS LN STE B
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1535
Country	:	US
Telephone Number	:	502-434-7007
Fax Number	:	844-729-1988

Provider Business Practice Location Address
First Line	:	4107 BROWNS LN STE B
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1535
Country	:	US
Telephone Number	:	502-434-7007
Fax Number	:	844-729-1988

Authorized Official
Title or Position	:	ORGANIZER
Name	:	MEGAN SOCHA
Credential	:	DC
Telephone Number	:	502-434-7007

Provider Enumeration Date	:	09/26/2017
Last Update Date	:	07/21/2022

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