| NPI | 1669692042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL M PARKER Clinic Director 270-689-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003804) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 008857) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-03-17 |