Organization
WALK ON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER Q, VALE PT (PRESIDENT)
(502) 551-0611
Entity
Organization
Contact information
Practice address
6422 FIBLE LN, CRESTWOOD, KY 40014-9726
(502) 551-0611
(502) 254-2777
Mailing address
PO BOX 23041, LOUISVILLE, KY 40223-0041
(502) 551-0611
(502) 254-2777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87001012
—
KY
Enumeration date
11/13/2009
Last updated
09/17/2019
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