| NPI | 1093901100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA J LEE Office/Business Manager 606-679-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 225100000X Physical Therapist | |
| 293D00000X Physiological Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-03-16 |