Organization
CRYSTAL SPENCER PHYSICAL THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SPENCER MSPT (PHYSICAL THERAPIST)
(606) 424-0124
Entity
Organization
Contact information
Practice address
196 BLUE ASH DR, SANDY HOOK, KY 41171-7094
(606) 424-0124
Mailing address
196 BLUE ASH DR, SANDY HOOK, KY 41171-7094
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004988
KY
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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