| NPI | 1437555299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN L SWANSON Authorized Official 859-687-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR0018703) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2019-05-20 |