MEDICARE: ARROW 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	111N00000X	Chiropractor	5167	KY

General Provider Information

NPI Number	:	1972918571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROW CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2500 BARDSTOWN RD
Second Line	:	SUITE 7
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2675
Country	:	US
Telephone Number	:	502-585-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 BARDSTOWN RD
Second Line	:	SUITE 7
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2675
Country	:	US
Telephone Number	:	502-585-5400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LUKE PUCKETT
Credential	:	DC
Telephone Number	:	502-548-1381

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	06/23/2014

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Directions to “ARROW CHIROPRACTIC ” Practice Location

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