# REHABILITATION SPECIALISTS OF KENTUCKIANA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134761653
- **Authorized official:** ROBERT THOMPSON (OWNER/MD)
- **Authorized official phone:** (502) 551-8305

## Contact information

- **Practice address:** 1599 PERSIMMON RIDGE DR, LOUISVILLE, KY 40245-7007
- **Practice address phone:** (502) 551-8305
- **Mailing address:** 1599 PERSIMMON RIDGE DR, LOUISVILLE, KY 40245-7007
- **Mailing address phone:** (502) 551-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2019
- **Last updated:** 03/15/2021