LEVI RAY BRISTOW

LA GRANGE, KY
NPI1205171980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  005609)
Enumeration Date2012-12-06
Last Update Date2012-12-06
Business Address
Dr. LEVI RAY BRISTOW DPT
2612 SUNNINGDALE PL W
LA GRANGE, KY 40031-8948
Phone number: 502-759-2879
Mailing Address
Dr. LEVI RAY BRISTOW DPT
3934 CHENOWET SQ
LOUISVILLE, KY 40207
Phone number: 502-759-2879
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