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Organization

ANDERSON PHYSICAL THERAPY LLC

Active
Other names
Back Pain Relief Center, Diabetes Control Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARNOLD BARTH MILLER (COO)
(502) 235-1099
Entity
Organization

Contact information

Practice address
3901 DUTCHMANS LANE, STE 202, LOUISVILLE, KY 40207-4799
(502) 708-2940
(502) 708-2942
Mailing address
401 W MAIN ST STE 2014, LOUISVILLE, KY 40202-2928
(502) 409-4174
(502) 882-9061

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00883001
MEDICARE GROUP PTAN
KY
Enumeration date
10/04/2008
Last updated
10/24/2017
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