| NPI | 1306039334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LISA HALL Doctor Of Physical Therapy 270-705-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002256) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2018-04-26 |