Individual
BEN BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
676 DAIRY WAY, LANCASTER, KY 40444-7652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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