Provider Demographics
NPI:1023779444
Name:INJURY RELIEF CENTER OF LOUISVILLE
Entity type:Organization
Organization Name:INJURY RELIEF CENTER OF LOUISVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-772-2273
Mailing Address - Street 1:PO BOX 16478
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40256-0478
Mailing Address - Country:US
Mailing Address - Phone:502-772-2273
Mailing Address - Fax:502-653-7359
Practice Address - Street 1:3954 CANE RUN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-2054
Practice Address - Country:US
Practice Address - Phone:502-772-2273
Practice Address - Fax:502-653-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty