| NPI | 1023777554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HUHN Owner/Director 502-909-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 103TC0700X Psychologist Clinical | |
| 207X00000X Orthopaedic Surgery | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-12-03 |