Provider Demographics
NPI:1750487583
Name:RALEY, JOSEPH PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PAUL
Last Name:RALEY
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 1:254 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-5450
Mailing Address - Country:US
Mailing Address - Phone:502-955-7246
Mailing Address - Fax:502-955-1508
Practice Address - Street 1:254 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-5450
Practice Address - Country:US
Practice Address - Phone:502-955-7246
Practice Address - Fax:502-955-1508
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4384111NI0900X
KY250751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NI0900XChiropractic ProvidersChiropractorInternist