Individual
JUSTIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1775 ALYSHEBA WAY STE 10, LEXINGTON, KY 40509-2479
(859) 260-4540
(859) 260-4545
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4914
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100296340
—
KY
01
—
P01370826
RAILROAD MEDICARE
KY
Enumeration date
01/15/2014
Last updated
06/17/2019
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