Provider Demographics
NPI:1306402565
Name:STRONG, TODD (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:STRONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TOMPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42167-1600
Mailing Address - Country:US
Mailing Address - Phone:931-397-8689
Mailing Address - Fax:
Practice Address - Street 1:200 E 4TH ST
Practice Address - Street 2:
Practice Address - City:TOMPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42167-1600
Practice Address - Country:US
Practice Address - Phone:931-397-8689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3194111N00000X
KY273405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor