MEDICARE: MORRIS CHIROPRACTIC PSC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1740472760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRIS CHIROPRACTIC PSC

Provider Business Mailing Address
First Line	:	2815 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2644
Country	:	US
Telephone Number	:	502-456-1771
Fax Number	:	502-451-4484

Provider Business Practice Location Address
First Line	:	2815 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2644
Country	:	US
Telephone Number	:	502-456-1771
Fax Number	:	502-451-4484

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHILLIP J MORRIS
Credential	:	D.C.
Telephone Number	:	502-456-1771

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	02/25/2013

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