Organization
CHAMPION PHYSICAL THERAPY KENTUCKY, LLC
Active
Other names
CORA Physical Therapy - Middlesboro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
1475 US HIGHWAY 25 E STE 6, MIDDLESBORO, KY 40965-2077
(606) 248-1996
(606) 248-1901
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6720
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
KY
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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