Individual
DAVID D ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
117 TRADEPARK DR, SOMERSET, KY 42503-3428
(606) 678-5708
(606) 678-4336
Mailing address
117 TRADEPARK DR, SOMERSET, KY 42503-3428
(606) 678-5708
(606) 678-4336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179369
BLUE CROSS BLUE SHIELD
KY
01
—
1174914
CHA PROVIDER #
KY
01
—
650019563
RR MEDICARE #
KY
05
—
87020087
—
KY
Enumeration date
10/05/2006
Last updated
07/08/2007
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