Individual
MR. LEE INGAL RESTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
60 PHILLIPS BRANCH RD, PHELPS, KY 41553-9061
(606) 456-8725
(606) 456-4938
Mailing address
PO BOX 86, FOREST HILLS, KY 41527-0086
(606) 237-1167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005049
KY
Other
Enumeration date
07/12/2008
Last updated
07/12/2008
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