| NPI | 1649711565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LYNN CAMPBELL Physical Therapist 270-282-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006053) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2021-03-19 |