Organization
SN KENTUCKIANA REHAB, LLC
Active
Parent organization
SELECT MEDICAL
Other names
KORT Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
651 HAMBURG WAY STE 300, SELLERSBURG, IN 47172-1860
(812) 248-8180
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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