Provider Demographics
NPI:1730325952
Name:SKYE CHIROPRACTIC AT BARDSTOWN ROAD, PLLC
Entity type:Organization
Organization Name:SKYE CHIROPRACTIC AT BARDSTOWN ROAD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TORNATORE
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:502-767-9439
Mailing Address - Street 1:P O BOX 219
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112
Mailing Address - Country:US
Mailing Address - Phone:502-454-4441
Mailing Address - Fax:812-734-0303
Practice Address - Street 1:2107 WEBBER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2110
Practice Address - Country:US
Practice Address - Phone:502-454-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIROPRACTIC ONE PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-17
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty