Provider Demographics
NPI:1417356767
Name:ADJUSTED, INC - CHIROPRACTIC REHABILITATION
Entity Type:Organization
Organization Name:ADJUSTED, INC - CHIROPRACTIC REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DERREK
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:STUDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-307-9458
Mailing Address - Street 1:608 FOXFIRE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-9412
Mailing Address - Country:US
Mailing Address - Phone:270-307-9458
Mailing Address - Fax:
Practice Address - Street 1:608 FOXFIRE RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9412
Practice Address - Country:US
Practice Address - Phone:270-307-9458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5374111N00000X
171100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty