Provider Demographics
NPI:1689959686
Name:WOODS CHIROPRACTIC HEALTH CENTER P.S.C.
Entity Type:Organization
Organization Name:WOODS CHIROPRACTIC HEALTH CENTER P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:502-893-0757
Mailing Address - Street 1:106 BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3214
Mailing Address - Country:US
Mailing Address - Phone:502-893-0757
Mailing Address - Fax:
Practice Address - Street 1:106 BROWNS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3214
Practice Address - Country:US
Practice Address - Phone:502-893-0757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty