| NPI | 1417829946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MAGNESS PT/Owner 502-523-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 222Q00000X Developmental Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-12-11 |