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Organization

OSPTKY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY WHEELDON (MEMBER/OWNER)
(502) 426-2221
Entity
Organization

Contact information

Practice address
230 W MAIN ST STE B, LEXINGTON, KY 40507-1340
(859) 303-4312
(859) 303-4314
Mailing address
1868 PLAUDIT PL STE B, LEXINGTON, KY 40509-2429
(859) 264-0512
(859) 264-0595

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/11/2017
Last updated
01/25/2018
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