Organization
PHAUP PHYSICAL THERAPY, LLC
Active
Organization
PHAUP PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY SELENA PHAUP PT (OWNER)
(270) 452-2188
Entity
Organization
Contact information
Practice address
95 YMCA DR, SUITE A, MADISONVILLE, KY 42431-9035
(270) 452-2188
(270) 245-2995
Mailing address
95 YMCA DR, SUITE A, MADISONVILLE, KY 42431-9035
(270) 452-2188
(270) 245-2995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1050
KY
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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