Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dynamic Medical and Rehab PLLC

Organization Chiropractor · NPI 1417256710

Dynamic Medical and Rehab PLLC provides Chiropractor services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3747 Diann Marie Rd
Louisville, KY 40241
Phone: (502) 426-9200
Fax: (502) 426-9259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Chiropractor Taxonomy 111N00000X (KY)
Specialist Taxonomy 174400000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X (KY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1417256710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blaine Lisner — Md/Owner · (502) 426-9200
NPI enumeratedMarch 25, 2011
Last updated in NPPESAugust 5, 2021
Certification dateJuly 19, 2021
Mailing address3747 Diann Marie Rd, Louisville, KY 40241

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