| NPI | 1376960310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLENN MAGUET Physical Therapist 606-524-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002081) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 134657) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 225100000X Physical Therapist (Licence: KY 005497) | |
| 225200000X Physical Therapy Assistant (Licence: KY A01560) | |
| 225200000X Physical Therapy Assistant (Licence: KY A02336) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-03-19 |