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Individual

ANTHONY KOLTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3615 NEWBURG RD, LOUISVILLE, KY 40218-3368
(502) 909-0772
(855) 859-0123
Mailing address
10619 GLENEAGLE PL, LOUISVILLE, KY 40223-2666

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004040
KY LICENSE
KY
Enumeration date
05/06/2024
Last updated
05/06/2024
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