Provider Demographics
NPI:1144227190
Name:BYERS-ABSTON, TERRI J (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:J
Last Name:BYERS-ABSTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N LYNDON LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5550
Mailing Address - Country:US
Mailing Address - Phone:502-426-6715
Mailing Address - Fax:502-426-6716
Practice Address - Street 1:105 N LYNDON LN
Practice Address - Street 2:SUITE 102
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5550
Practice Address - Country:US
Practice Address - Phone:502-426-6715
Practice Address - Fax:502-426-6716
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100018000Medicaid
KYT54452Medicare UPIN
00248001Medicare PIN