| Spine Stop, Pllc | |
|
352 Old Gallatin Rd, Scottsville, KY 42164-8666 | |
| (270) 237-3304 | |
| (270) 237-3305 |
| Full Name | Spine Stop, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 352 Old Gallatin Rd, Scottsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215163431 | NPI | - | NPPES |
| 00946 | Other | KY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5082 (Kentucky) | Primary |
| Provider Name | Grant Guy Watkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144251448 PECOS PAC ID: 0547227464 Enrollment ID: I20090413000118 |
| Provider Name | Colin Grant Fultz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154856292 PECOS PAC ID: 0345510012 Enrollment ID: I20170728000819 |
| Provider Name | Brandon Michael Goodpaster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518430040 PECOS PAC ID: 7517205677 Enrollment ID: I20190214002359 |
| Provider Name | Alexander Edward Dapkus |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437702776 PECOS PAC ID: 9931437738 Enrollment ID: I20190816002922 |
| Provider Name | Dustin Levi Mcqueary |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255894135 PECOS PAC ID: 6608104294 Enrollment ID: I20190820003664 |
| Provider Name | Miranda Lynn-marie Gile |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578232211 PECOS PAC ID: 6406253335 Enrollment ID: I20210920003522 |
| Provider Name | Timothy John Hausl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528779006 PECOS PAC ID: 1355711557 Enrollment ID: I20230104002715 |
| Provider Name | Austin Burgett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801404249 PECOS PAC ID: 7517377856 Enrollment ID: I20231202000736 |
| Provider Name | Sarah Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407617160 PECOS PAC ID: 4789027947 Enrollment ID: I20240205004088 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Stop, Pllc 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: (270) 237-3304 | Spine Stop, Pllc 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: (270) 237-3304 |
Dr. Grant Guy Watkins Ii, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 352 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-237-3304 Fax: 270-237-3305 | |
Colin Grant Fultz, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 352 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-239-2225 | |
Taylor Elizabeth Thompson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 352 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-237-3304 | |
Dustin Levi Mcqueary, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 352 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-237-3304 Fax: 270-237-3305 | |
Miss Sarah Elizabeth Wilson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 352 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-237-3304 Fax: 270-237-3305 | |
Dr. Janice Marie Bloink, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 E Locust St, Scottsville, KY 42164 Phone: 270-237-5070 Fax: 270-237-5020 |