Provider Demographics
NPI:1598503971
Name:GOOD LIFE CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:GOOD LIFE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHAFFY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-352-6719
Mailing Address - Street 1:130 KINGS DAUGHTERS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4248
Mailing Address - Country:US
Mailing Address - Phone:501-352-6719
Mailing Address - Fax:
Practice Address - Street 1:130 KINGS DAUGHTERS DR STE 100
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4248
Practice Address - Country:US
Practice Address - Phone:501-352-6719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty