| NPI | 1205956588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY HUNT Office Supervisor 270-988-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 000360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 000361) |
| 225100000X Physical Therapist (Licence: KY 002095) | |
| 225100000X Physical Therapist (Licence: KY 002363) | |
| 225100000X Physical Therapist (Licence: KY 000477) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |