Individual
JOSEPH MICHAEL HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
201 SOUTH MAIN STREET, LEITCHFIELD, KY 42754
(270) 230-1729
(270) 230-1750
Mailing address
P.O. BOX 26, LEITCHFIELD, KY 42755
(270) 230-1729
(270) 230-1750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003064
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179577
ANTHEM BC/BS
KY
05
—
8700022000
—
KY
Enumeration date
06/08/2006
Last updated
11/29/2018
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