| NPI | 1811995996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. JACKSON President 859-367-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 24005) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-02-03 |