Individual provider · Type 1 NPI
Jerry Jason Lyles, D.C
Chiropractor · Georgetown, KY
NPI number
1457407801
Active
Practice location
100 Eastside Drive
Georgetown, KY 40324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 602664841 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1457407801
Jerry Jason Lyles, D.C's National Provider Identifier is 1457407801, issued on Jan 26, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Georgetown, KY. The record was last updated on Feb 10, 2010.