Organization
CORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WOODWARD DPT (PHYSICAL THERAPIST/OWNER)
(859) 806-7218
Entity
Organization
Contact information
Practice address
127 ALBEN BARKLEY DR STE C, PADUCAH, KY 42001-4402
(270) 908-0294
(270) 908-0296
Mailing address
127 ALBEN BARKLEY DR STE C, PADUCAH, KY 42001-4402
(270) 908-0294
(270) 908-0296
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005283
PHYSICAL THERAPIST LICENSE NUMBER
KY
01
—
1942462403
NPI
—
Enumeration date
11/29/2018
Last updated
11/29/2018
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