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Organization
SN KENTUCKIANA REHAB, LLC
Active
Organization
SN KENTUCKIANA REHAB, LLC
Active
Parent organization
SELECT MEDICAL
Other names
KORT Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
12000 AIKEN RD, LOUISVILLE, KY 40243-2413
(502) 489-5002
(502) 489-8002
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/08/2019
Last updated
07/21/2025
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