Organization
LIFESPAN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISA K DILLY PT, MS, CCM (OWNER)
(859) 489-0581
Entity
Organization
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Mailing address
2125 PALOMAR TRACE DR, LEXINGTON, KY 40513-1120
(859) 489-0581
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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