| NPI | 1851627244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLEN MAGUET Owner 606-524-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005497) |
| 225200000X Physical Therapy Assistant (Licence: KY A01560) | |
| 225200000X Physical Therapy Assistant (Licence: KY A01938) | |
| 225200000X Physical Therapy Assistant (Licence: KY A02336) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2017-06-14 |