Individual
MR. HILBERT TRACY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
(502) 636-0351
Mailing address
16400 SNAFFEL BIT CT, LOUISVILLE, KY 40245-8447
(502) 245-7495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
KY #004263
KY
Other
Enumeration date
11/13/2006
Last updated
07/06/2011
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