| NPI | 1679820856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLYN HENDERSON SPAULDING Sole Member 859-229-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002437) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-02-10 |