Individual
NATHAN RYAN KOSLAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
602 KEENE CENTRE DR, NICHOLASVILLE, KY 40356-1495
(859) 544-1762
(859) 787-0287
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007214
KY
Other
Enumeration date
10/04/2017
Last updated
12/07/2021
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