Basic Information
| Provider Information | |||||||||
| NPI: | 1467585174 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KENTUCKY HAND & PHYSICAL THERAPY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3050 HARRODSBURG RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405032747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592961696 | ||||||||
| FaxNumber: | 8592961676 | ||||||||
| Practice Location | |||||||||
| Address1: | 3050 HARRODSBURG RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405032747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592961696 | ||||||||
| FaxNumber: | 8592961676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2007 | ||||||||
| LastUpdateDate: | 02/15/2008 | ||||||||
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| AuthorizedOfficialLastName: | MCGOVERN | ||||||||
| AuthorizedOfficialFirstName: | BRIDGET | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8592648866 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MBA, CPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | PT004841 | KY | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.