Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dynamic Medical and Rehab PLLC

Organization Chiropractor · NPI 1417256710

Dynamic Medical and Rehab PLLC is a Chiropractor 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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