| NPI | 1568287936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KELLEY CEO 502-558-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |