Provider Demographics
NPI:1124267604
Name:HANDS ON HEALING CHIROPRACTIC
Entity type:Organization
Organization Name:HANDS ON HEALING CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VAN ROOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-268-7501
Mailing Address - Street 1:867 E HIGH ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2156
Mailing Address - Country:US
Mailing Address - Phone:859-268-7501
Mailing Address - Fax:
Practice Address - Street 1:867 E HIGH ST
Practice Address - Street 2:SUITE 230
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2156
Practice Address - Country:US
Practice Address - Phone:859-268-7501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5038111NS0005X
KY5077111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty