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Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
KORT Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1868 W HEBRON LN STE 100, SHEPHERDSVILLE, KY 40165
(502) 955-7724
(502) 955-5778
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064465
ANTHEM/BCBS
KY
Enumeration date
08/01/2006
Last updated
11/12/2018
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