Organization
HANCOCK PHYSICAL THERAPY SPECIALISTS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH HANCOCK P.T. (OWNER)
(270) 719-9407
Entity
Organization
Contact information
Practice address
1222 SKYLINE DR, HOPKINSVILLE, KY 42240-4968
(270) 719-9407
(270) 707-7377
Mailing address
755 EVERETT LN, HOPKINSVILLE, KY 42240-9520
(270) 719-9407
(270) 707-7377
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
003647
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00444
MEDICARE GROUP #
KY
Enumeration date
08/24/2007
Last updated
10/31/2007
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