KATHY J. PANSEGRAU, DC, PSC (NPI# 1760658546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760658546 |
| Entity Type | Organization |
| Organization Name | KATHY J. PANSEGRAU, DC, PSC |
| Other Organization Name | 360 DEGREE CHIROPRACTIC |
| Practice Address |
6402 Westwind Way Suite 5 Crestwood KY 40014 |
| Practice Telephone | 5022418939 |
| Practice Fax Number | 5022418940 |
| Mailing Telephone | 5022418939 |
| Mailing Fax Number | 5022418940 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | DR. KATHY J PANSEGRAU (PRESIDENT) |
| Authorized Official Telephone | 5617032658 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5098 | KY | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| 360 Degree Chiropractic | Doing Business As Name - Organization |
| Street Address |
6402 WESTWIND WAY SUITE 5 |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| 1356553424 | Abundant Solutions, LLC | Occupational Therapy Assistant | 2212 Outer Circle Drive, Crestwood, KY 40014 | 2007-05-03 |
| Find all providers in zip 40014 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341163 | Crestwood Associated Medical Center Ltd | Chiropractor | 13705 Cicero Ave, Crestwood, IL 60418-1824 | 2017-08-10 |
| 1326484874 | J Revello Chiropractic Sc | Chiropractor | 13703 Cicero Ave, Crestwood, IL 60445-1824 | 2013-05-10 |
| 1902160351 | Standing Stones Chiropractic, Pllc | Chiropractor | 6225 W Highway 146, Suite B, Crestwood, KY 40014-7595 | 2012-06-29 |
| 1225358559 | Crestwood Chiropractic Group Psc | Chiropractor | 6003 Pleasant Colony Ct Ste 1, Crestwood, KY 40014-8679 | 2010-06-09 |
| 1629270954 | Health On Earth Wellness Centers LLC | Chiropractor | 13657 S. Cicero Ave, Crestwood, IL 60445-1936 | 2007-05-31 |
| 1073680047 | Daniel Joseph Sweeney | Chiropractor | 13807 Cicero Ave, Crestwood, IL 60445-1826 | 2006-11-29 |
| 1174544316 | Frank A Vaught Jr. | Chiropractor | 13657 Cicero Ave, Crestwood, IL 60445-1936 | 2006-07-22 |
| 1508820739 | Mark Robert Schuler | Chiropractor | 6225 W Highway 146 Ste 1, Crestwood, KY 40014-7594 | 2006-04-14 |
| 1982068698 | Joshua Moll | Chiropractor | 6003 Pleasant Colony Ct, Crestwood, KY 40014-8678 | 2016-04-08 |
| 1225410368 | Allan Nance | Chiropractor | 13703 Cicero Ave, Crestwood, IL 60445-1824 | 2015-06-25 |
| Find all providers in CRESTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.