Provider Demographics
NPI:1386797272
Name:HEALING HANDS CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-586-9777
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-0051
Mailing Address - Country:US
Mailing Address - Phone:859-586-9777
Mailing Address - Fax:859-689-6133
Practice Address - Street 1:2950 HEBRON PARK DR STE E
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8511
Practice Address - Country:US
Practice Address - Phone:859-586-9777
Practice Address - Fax:859-689-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6064001Medicare PIN