# SN KENTUCKIANA REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SELECT MEDICAL
- **Other names:** KORT Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083179899
- **Legal business name:** SELECT MEDICAL
- **Authorized official:** MICHAEL TARVIN (VICE PRESIDENT)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 3605 NORTHGATE CT STE 110, NEW ALBANY, IN 47150-6400
- **Practice address phone:** (812) 949-5749
- **Mailing address:** 4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019