| NPI | 1790165561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C KERSTING Director Of Financial Services 502-327-7706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 100934) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: KY 100934) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: KY 100934) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |