Individual
MR. JESSE C NEIHEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8575
(859) 258-8562
Mailing address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8575
(859) 258-8562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-005045
KY
2251S0007X
Sports Physical Therapist
PT-005045
KY
2251X0800X
Orthopedic Physical Therapist
PT-005045
KY
Other
Enumeration date
10/12/2006
Last updated
12/18/2008
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