| NPI | 1497021869 |
|---|---|
| Doing Business As | LIVING WELL PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MAX HAMMOND Director 859-410-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 33755) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-10-19 |