Provider Demographics
NPI:1922553833
Name:THOROUGHBRED CHIROPRACTIC
Entity Type:Organization
Organization Name:THOROUGHBRED CHIROPRACTIC
Other - Org Name:THOROUGHBRED CHIROPRACTIC NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-425-6200
Mailing Address - Street 1:1941 BISHOP LN
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-1922
Mailing Address - Country:US
Mailing Address - Phone:502-425-6200
Mailing Address - Fax:502-425-6400
Practice Address - Street 1:1941 BISHOP LN
Practice Address - Street 2:SUITE 800
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1922
Practice Address - Country:US
Practice Address - Phone:502-425-6200
Practice Address - Fax:502-425-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4999111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty