Provider Demographics
NPI:1437326519
Name:WOLTER, SONYA (DC)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:
Last Name:WOLTER
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 1:3532 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4302
Mailing Address - Country:US
Mailing Address - Phone:502-744-0030
Mailing Address - Fax:
Practice Address - Street 1:3532 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4302
Practice Address - Country:US
Practice Address - Phone:502-744-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor