Organization
SHELBYVILLE PHYSICAL THERAPY & SPINE CARE CENTER, P.S.C.
Active
Organization
SHELBYVILLE PHYSICAL THERAPY & SPINE CARE CENTER, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRYN G LECOMPTE P.T. (OWNER)
(502) 633-2443
Entity
Organization
Contact information
Practice address
72 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-2443
(502) 633-3126
Mailing address
72 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-2443
(502) 633-3126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650010878
RAILROAD MEDICARE
KY
05
—
87011458
—
KY
Enumeration date
09/21/2006
Last updated
10/06/2009
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