Provider Demographics
NPI:1316930563
Name:ROCK, AMY RHEA (DC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:RHEA
Last Name:ROCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 N MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3640
Mailing Address - Country:US
Mailing Address - Phone:270-360-9955
Mailing Address - Fax:270-360-9966
Practice Address - Street 1:924 N MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3648
Practice Address - Country:US
Practice Address - Phone:270-360-9955
Practice Address - Fax:270-360-9966
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor